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Cost of Evenity injections

Osteoporosis & Bone Health | Last Active: Oct 24 6:57am | Replies (61)
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@daisy17

I read that Medicare only covers Evenity if you've already had a fracture. Do you know if they make exceptions to this? I have a Blue Cross Medicare Advantage plan, so maybe I need to call them. Thanks.

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Replies to "I read that Medicare only covers Evenity if you've already had a fracture. Do you know..."
windyshores | @windyshores | Oct 22 12:52pm

I have a Medicare Advantage Plan too but I have fractures. I would call your plan. If your DEXA scores are below a certain level you might get coverage. In any case your doctor can write a letter of medical necessity or do an authorization or whatever. Let us know!

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awfultruth | @awfultruth | Oct 23 11:26am

@daisy17 Traditional Medicare certainly does not require fractures before it will pay for Evenity.
I have no experience with medicate advantage plans but I would guess that it would be up to each plan whether the cover and the details of that coverage.

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