I am sorry to hear that you haven’t been feeling well on Evenity. I hope that being on it has increased your bone mineral density and you can lock in those gains by going on Prolia or ReClast.

clowny, I am sorry you are not feeling well on Evenity. I will have to switch off my bisphophate soon and am looking at options. I think my Medicare Part B insurance only pays to have a Dexa every two years. If yours is like mine, maybe you are within that two-year time frame. If it has been more than two years, I have no idea why insurance won't pay. Also, it may not be reasonable for your MD to spend time appealing much of anything right now. They are a very financially stressed industry, and have been under stress for awhile. My practice is owned by the local hospital that is owned by a venture capitalist firm. That may mean that some MDs, including my internist, are employees who can't practice medicine as they would like.

clowny: I have had 3 DEXA scans since going on Medicare and they have all been covered. The caveat is that you can only have it done once every two years. So if you have a repeat scan before the two year point then, yes, it won't be covered.