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Financial discussions/tips concerning expensive treatment

Osteoporosis & Bone Health | Last Active: Feb 14 6:46pm | Replies (64)
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@windyshores

I have a Medicare Advantage Plan through BC/BS but Evenity is paid for by Medicare part B because it is given in the office. Charge to me is 80% of the cost until I hit "catastrophic," and I am close! I'll let you all know what happens in the donut hole, where I currently am!

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Replies to "I have a Medicare Advantage Plan through BC/BS but Evenity is paid for by Medicare part..."
rjd | @rjd | Nov 7, 2023

Hi Windy. Now I am really confused. The only terms like "catastrophic" and "donut hole" I know about suggest payment for a prescription medication under your Part D coverage, not as a Part B outpatient medical procedure. How certain are you it is being treated under Part B rather than as a Part D drug?

When I received a Prolia injection in my doctor's office, it was processed under Part D. When I received a Prolia injection at an infusion center, it was processed as Part B medical service.

Does anyone else feel we are living in a Medicare Alice In Wonderland situation?

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