← Return to Medication???

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hopefulheart (@hopefulheart)

Medication???

Osteoporosis & Bone Health | Last Active: Nov 16, 2023 | Replies (28)

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@naturegirl5

@hopefulheart
Getting another opinion on osteoporosis and possibly taking medication is good. I hope the 2nd consult is helpful for you.

I have a few questions regarding the prescription for Tymlos.

1. What is your age?
2. Do you have Medicare insurance? If yes, is it Original Medicare or is it Medicare Advantage?

I get Evenity at an infusion center. I have Original Medicare and the monthly Evenity injections are covered by Medicare Part B. This means that after I have met my deductible for Medicare Part B which I've already done this year, there is no additional cost to me.

I don't know how Tymlos, Reclast or Prolia are covered by insurance. I do know that if Medicare approves any of these medications and you have Original Medicare or Medicare Advantage, then the medication is approved for coverage. However, the cost to you will vary depending on your insurance plan.

Does this help?

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Replies to "@hopefulheart Getting another opinion on osteoporosis and possibly taking medication is good. I hope the 2nd..."

Thanks for your reply
I have private insurance
I’m 63

Do you also have a supplement plan also known as medigap insurance?

Reclast and Prolia are usually administered in a doctor’s office or infusion center and therefore covered under Medicare part B. Tymlos is a self administered medication so coverage may be available under a part d insurance. It’s likely subject to prior authorization and coverage varies depending on the plan.