@pcretella: I have Original Medicare with Part A&B& drug plan through group & senior suppliment insurance. I never wait for referrals, get all rx my doc prescribes -no problem.
For me I would not change from Original Medicare - the premiums might be more expensive, but my best health care is of primary importance.

@pcretella You might be eligible for financial assistance from Amgen (the manufacturer of Evenity). They have several options available based on what insurance you have and your finances. If you're not eligible for any of their programs, they can direct you to other resources. I would also speak with your pharmacist and also look into state assistance programs. If you used an agent for your insurance, call them. Try calling whoever administers your plan. Since Medicare Advantage open enrollment for 2026 is now available, see what plans will pay for Evenity.

There's a lot out there, so just do the research and don't give up! Best wishes to you moving forward.

@pcretella
Maybe find an advantage plan that would pay for it? This is the time of year, I think, where we can change our plans. Or if it’s affordable, go with a PPO Supplement. An insurance broker could help you research plans. I have one for my Plan D. Such a time savings than me trying to figure it all out! Good luck.

@pcretella

I was on the Prolia shots and have a lot of leg pain and hip pain so I am quitting the shots. Will see the doctor about what follow up meds I need and a venous injection at the hospital for 30 min. That's what doctor had told me. Also wanted to let you know the doctor found out that if they order the Prolia on the Medicare Part B, instead of through the Drug Part D, it only costs $300 instead of the $600 per shot. So I did get a shot in August. But because of my leg and hip pain, I am discontinuing. Don't know what kind of meds I will have to take now since I stopped the Prolia.

Good luck with your shots and getting your costs down

jk1938