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Medicare B coverage of Evenity
Medicare B coverage info for Evenity. How much do they pay per month for it. Medicare could not answer the question about cost or the assignment they pay per month. Does anyone know?
The amount would help to see if it would be affordable.
Thank you in advance for your input
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"IF" you are being treated at a doctor's office. Not all doctor give these shots. Mine referred me to an infusion center.
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1 ReactionYes an infusion center is still a medical office so is covered.
That has been my experience also. Traditional Medicare and my AARP supplemental ( ( covers the 20%) has served me very well. Once $240.00 deductible at first doc visit of the year and DONE! No copays no need for referral. I call any doc , who takes Medicare ( ALL of mine do… never had to switch docs) and make my own appointment…. NATIONALLY … it’s federal and therefore no network constraints.
Beware on Advantage programs… not every MEDICARE doc takes Medicare advantage.
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2 ReactionsI hope you continue to have good care. Healthcare should not be for-profit businesses because their profits outweigh their commitment to care. I am very healthy at 72 other than having mild osteoporosis and my husband and I have relatively high income/savings so we are charged higher rates, but still very low. I’ll never get Medicare Advantage. Period.
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2 ReactionsThis has been troubling me so I just confirmed that I had seen the list price being around $2400 each month. Not $8000.
Anjalima, I also have traditional Medicare and AARP UHG supplement. I'm a bit confused. Does Medicare part B cover the osteo med Evenity and/or just the doctor visits and injections? I thought part d covers the osteo med, which is also dependent on which part d drug company you select.
You are correct. Part D covers meds but I’m under the impression that if a med is infused or injectable in a doctors office (vs. oral or self injectable) I believe it’s covered by Part B ;Part A if in a hospital. It’s definitely confusing. Ultimately you have to check these big ticket items with your Medicare representative.
I was told by UHC/AARP that Evenity would be fully covered by Medicare and Medigap because of the plan I am on.
My Medicare Advantage Plan said that with Medicare B, I pay 20%. I am going to look into Evenity after Tymlos, but for 3-4 months. Dr. Keith McCormick wrote in his new book "Great Bones" that those first months are when it is most effective. Check on this with your own doc of course.
When I investigated the cost of Evenity, I found that it was approximately $2200-2300 per month. I live in Southern California and I don’t know if the cost of medications varies from state to state.