← Return to Forced to switch to biosimliar of Prolia by local provider clinic

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Profile picture for laura1970 @laura1970

As a caveat, if you have a Medicare advantage plan, you can get your vaccines in the doctors office

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Replies to "As a caveat, if you have a Medicare advantage plan, you can get your vaccines in..."

Are you on Medicare yet? Actually, a Medicare Advantage plan (Medicare Part C) restricts people on choice of doctor, treatment, and medications. One has less choice than with Traditional Medicare (Part A/hospital, B/visits&tests ad D/drugs). I am grateful I chose Traditional Medicare and I could therefore self-refer myself to Mayo Clinic when my lung issues started. I went from an abnormal chest x-ray to lung cancer surgery in only 7 weeks! And no bills. That would never have happened with an Advantage Plan!!! The Mayo Oncology dept has a sign/brochure about what to do if your insurance refuses to cover your cancer treatment.

Returning to the Prolia issue, the local clinic decided to NOT provide for their financial reasons. I HAVE COVERAGE but I need to go to a different organization. It is a Part B drug and should be administered in Dr's office for coverage under Part B. Otherwise it will be much more expensive if I would purchase it under a Part D plan.