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Financial discussions/tips concerning expensive treatment
Osteoporosis & Bone Health | Last Active: Feb 14 6:46pm | Replies (64)Comment receiving replies
Is it possible that between the submission of the prior authorization request in 2023 and the approval in 2024 is that your insurer has made coverage changes and now covers the Evenity?
Could your insurance also have changed coverage of any other med you were interested in before deciding to go on Evenity?
You do not say what insurance you have as someone under 65. Is it employer provided insurance or Obama-care?
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The prior auth was submitted this month, I have ACA, and in the insurance 2024 formulary, it says that Evenity is "excluded". As far as coverage for other OP meds, nothing has changed. My out-of-pocket costs per month will be 50%, so I will definitely hit my MOOP for the year. The acromym MOOP makes me laugh everytime.