1. < Osteoporosis & Bone Health

Cost of Evenity injections

Posted by shula @shula, Jun 17, 2023

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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CarolynK | @carolynk | Oct 24 6:57am
In reply to @carolynk "Your best bet is to get the procedure code and then call Medicare. If you have..." + (show)
@carolynk

Your best bet is to get the procedure code and then call Medicare. If you have set up your on line Medicare account, you can also chat with them there. But you'll still want to have the procedure code in hand.

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I got the procedure code and called Medicare. The assistant there said the code was not on their list. I double checked the code. The code was right. My next step is to get the provider to run the procedure through billing before we do the procedure. We'll see how it plays out.

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