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Cost of Evenity injections

Osteoporosis & Bone Health | Last Active: Oct 24 6:57am | Replies (61)

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@marymj7

I don’t know how to get someone from medicare on the phone who can address this specific issue. The infusion center put me in contact with a drug rep who said as long as it’s no more than six weeks between shots I am considered to be in treatment. Sure hope he’s right

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Replies to "I don’t know how to get someone from medicare on the phone who can address this..."

@marymj7 There is a phone number on the back of your Medicare card. On my card the phone number if 1-800-633-4227. Do you get your Medicare through an insurance company such as United or Humana? If yes, then you have a Medicare Advantage policy and you have to call that company. Again, the phone number if on the back of your insurance card.

I'll admit that Medicare representatives are not always helpful. Just like any private insurance company such as United or Blue Cross/Blue Shield Medicare is the funding source for your Evenity injections. Medicare "decides" what to pay and not pay. The drug representative can tell you what is recommended but they do not make the decision on payment.

Your best bet is to get the procedure code and then call Medicare. If you have set up your on line Medicare account, you can also chat with them there. But you'll still want to have the procedure code in hand.