I started Prolia in February, my next injection is in August. I will .

Posted by cmbaczenski @cmbaczenski, May 6 10:09am

I started Prolia in February 2026 and will be turning 65 and need to make a decision about Medicare either medical or advantage. Getting so many conflicting information. Can anyone recommend

Interested in more discussions like this? Go to the Osteoporosis & Bone Health Support Group.

I’ve heard that once you opt out of traditional Medicare, you will have to go through an approval process to get back in. You may not be approved to get back in based on your medical history. Seems like most people feel safe going with traditional Medicare.

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Profile picture for dbamos1945 @dbamos1945

@cmbaczenski: I am a realist and glad I choose to stay on Original Medicare. I was active, relatively healthy, good nutrition and healthy life style (never smoked & no alcohol); however, out of the blue I was diagnosed with Stage 4 cancer. Thankfully I have Original Medicare and UHC supplement insurance, because the treatment costs are more than you would believe and I have never received a bill for the treatment! I have requested 2nd opinions regarding medical care and NEVER had insurance question my medical needs. I did not have to wait for insurance to approve a referral, medication or decision on expensive treatments. Original Medicare plus a supplemental insurance is the BEST medical decision you can make.
You may want the smaller premium costs of the many medical insurance options you are tempted with, but if you love yourself enough you are worth the monthly premium of Original Medicare! No one can predict your medical needs… YOU need to be ready for anything!

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@dbamos1945 It really sounds like the sound way to go. Advantage just seems like a continuation of the insurance i have and paying huge out of pocket. I am healthy and physically active. I was in an accident 2 years ago, with 2 spinal fractures and then leading to -4 osteoporosis score. So, I am so trying to understand this Medicare before making a choice, but traditional seems to be the right way to go. TY

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Profile picture for cmbaczenski @cmbaczenski

@mary2249
Thank you for that. I assumed if it didn’t work, I could switch from advantage to traditional but I am hearing not!

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@cmbaczenski Hi, I'm no expert, but I live on Martha's Vineyard and was told by a friend who had worked in Boston medical feild all her life, when I was about to sign up for medicare, NOT to get advantage! I trusted her advice, I'm now 69.
I have traditional medicare and Blue Cross Medix (part C) Blue Cross (Part D)
I have no complaints at all, it seemed a bit pricy at first, but I never have had to pay out of pocket for anything yet (except hearingaids)

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Profile picture for cmbaczenski @cmbaczenski

@mary2249
Thank you for that. I assumed if it didn’t work, I could switch from advantage to traditional but I am hearing not!

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@cmbaczenski Its not impossible to switch, but will require a physical exam, and can be turned down. Insurance counts on the healthy younger ones not using it while paying in. In other words, you shouldn't wait until you get sick to switch. Traditional Medicare, when selected at start of eligibility, cannot turn you down or charge a higher premium because of existing health status. You can seek out information at local Office of Ageing in US. Traditional Medicare requires a Supplemental plan which can cost a few hundred dollars per mo., but well worth it if you can budget for it. Currently, Plan G is the best (I believe). You should research it. We have plan F but it is no longer available. Plan G has small deductible, but premium is less than F.

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Profile picture for gravity3 @gravity3

I have original Medicare with a supplemental. Please make sure you do extensive research on Medicare advantage plans. Personally I would never opt for advantage if making the choice again.

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@gravity3 My husband and I did not choose advantage...regular medicare plus supplemental is much better coverage. No "free" (gym, dental, vision, etc.) attached; but I can get coverage anywhere, with less restrictions on original Medicare.

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Profile picture for magicwoo @magicwoo

@cmbaczenski Hi, I'm no expert, but I live on Martha's Vineyard and was told by a friend who had worked in Boston medical feild all her life, when I was about to sign up for medicare, NOT to get advantage! I trusted her advice, I'm now 69.
I have traditional medicare and Blue Cross Medix (part C) Blue Cross (Part D)
I have no complaints at all, it seemed a bit pricy at first, but I never have had to pay out of pocket for anything yet (except hearingaids)

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@magicwoo Ty! Really hearing so much on how Medicare Traditional is a much better cover. I will look into the BC supplemental. It’s a sin that Medicare does not cover hearing aids! Since the majority of seniors NEED them. And with technology today, they shouldn’t be the price they are charging.. another government scam

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Profile picture for cmbaczenski @cmbaczenski

@magicwoo Ty! Really hearing so much on how Medicare Traditional is a much better cover. I will look into the BC supplemental. It’s a sin that Medicare does not cover hearing aids! Since the majority of seniors NEED them. And with technology today, they shouldn’t be the price they are charging.. another government scam

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@cmbaczenski

Over the counter hearing aids are getting so much better.

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