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Evenity and Medicare - What do plans cover and how much?

Osteoporosis & Bone Health | Last Active: Dec 4 8:56am | Replies (129)
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@solveigsp

This answer is al wrong! EVENITY IS COVERED UNDER MEDICARE PART B BECAUSE IT IS ADMINISTERED IN THE DOCTOR’S OFFICE! I am getting these injections now and it was NO hassle and costs almost nothing for me. Some of the advisors out there are reps of the Medicare Advantage private insurance industry that I do not trust. Be careful who you listen to.

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Replies to "This answer is al wrong! EVENITY IS COVERED UNDER MEDICARE PART B BECAUSE IT IS ADMINISTERED..."
Colleen Young, Connect Director | @colleenyoung | Jan 12, 2023

@solveigsp, thank you for adding your experience with Evenity and Medicare. You're right that one should be careful who they listen to.

@artscaping's response above states "Make sure that Evenity is on the Medicare formulary. If not, ask for a formulary exception." This is always good advice when considering a drug that is relatively new to the market.

@baguette, the information you received from the representative may have been correct at the time you called. Hearing the encouraging response from @solveigsp, perhaps you should ask again.

Thanks again, Solveigsp.

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berniebrooks3 | @berniebrooks3 | Jul 11 12:40pm

Thank you for chiming in here. This sounds like great news for me. As far as you know are there any other stipulations that apply in order to have MediCare Part B cover these injections (other than the doctor's billing department bill Part B and not the RX plan). Things like evidence of prior fracture, doctor submitting a request for exception, etc etc....ANY AND ALL information is so greatly appreciated ! We certainly have to be our own advocates and I'm so happy to have found this whole community of support !

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