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@jozer, That does seem to be the case. The FRAX score is important for most in order to get an idea of fracture risk. I'd make a very strong case for bone turnover marker testing to establish a baseline and as a way to see if a particular treatment is working. If a doctor refused that, I'd walk straight out of the office. My understanding is that increased bone density is slow and that makes once a year too soon so insurance companies pay every 2 years. However, if I wanted to know sooner, I'd pay out of pocket for the scan after getting a good faith estimate ahead of time which prevents them from over billing.

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@babs10 my doctor did first bone markers (CTX, NTX) after taking fosamax for a year, and again a year after reclast. He said the most recent tests indicate reclast is working, thus no DEXA. (First CTX after year of fosamax was 52, after reclast 78; no idea what those numbers actually mean other than meds are working per doc). Unfortunately I have tried to get a dexa for my peace of mind (and to see if the exercise, diet, supplements, heel drops etc. are doing anything) but I’ve been quoted anywhere from $400-$1200 depending on cash discounts. And nothing in “writing” to confirm; they said they don’t do that. Very frustrating.