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Cost of Evenity injections
Does anyone know what is the out of pocket cost for Evenity if one has traditional Medicare with a supplement vs Medicare advantage program?
I was told by Aetna Medicare Advantage CONY the the out of pocket cost is $602.89
for each injection visit. They said Evenity is a tier V medication. I heard Medicare part B covers 80% and Medigap or supplement covers 20%. However I think the out of pocket cost for every Evenity visit would be costly.. appreciate a reply and thanks. Shula
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I actually just picked up my Evenity from the pharmacist and did my own injection. Out of pocket cost was $563.
Yes Medicare pays 80% for Evenity shots & I pay 20%
I will start Evenity in January. It looks like I will use traditional Medicare, plan G Humana/medigap. Has anyone been on these plans and had Evenity paid for. It's very hard to get anyone, insurance or my doctor's office to quote what will be charged. Any suggestions?
What I have been told is the insurance companies want you to start with the less expensive drugs.
Your doctor should help you convince the insurance company why you need to take that medicine.
Contacted the company that makes Evenity.
Good luck!
There is an assistance program linked to the pharmaceutical company that makes Evenity. It may help pay for the drug, should you need it. It's called Amgen Safety Net Foundation.
https://www.amgensafetynetfoundation.com/
@rjkesal123 I posted a similar question and received answers that I think will be helpful to you. Also, like you I have Original Medicare (Parts A and B) and Supplement G with a Medigap policy.
https://connect.mayoclinic.org/discussion/where-do-you-get-your-evenity-injections/
I have not yet seen the bill but my understanding is that my injections will be paid for, in total, because I get my injections in an infusion center.
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2 ReactionsThanks so much! Good luck to you.
Thank you!
Tufts tells me it will cost me $300 per month. Ouch.
Just found this chat group. I am not on Medicare and was able to get approved for the Amgen SupportPlus Co-Pay program. I have had 2 treatments so far and not paid a cent. My endocrinologist uses Providence Hospital for the treatments and they enrolled me in the program.
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