I started Prolia in February, my next injection is in August. I will .

Posted by cmbaczenski @cmbaczenski, May 6 10:09am

I started Prolia in February 2026 and will be turning 65 and need to make a decision about Medicare either medical or advantage. Getting so many conflicting information. Can anyone recommend

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I have original Medicare with a supplemental. Please make sure you do extensive research on Medicare advantage plans. Personally I would never opt for advantage if making the choice again.

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My take on Medicare “advantage” policies is that, yes monthly premiums may be lower than traditional Medicare but you get what you pay for.
You might ask around your providers (doctors, hospitals etc.) to see if they are in network and what it actually covers.
Traditional Medicare is widely accepted.

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Original Medicare and Medicare advantage plans cover Prolia because it is administered in the doctor's office or clinic. I have original Medicare and have been satisfied. I prefer to choose my own physicians and not be limited by advantage provider lists, which I consider a disadvantage.

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I recommend traditional Medicare instead of Advantage. I have never been turned down for any medication (or even charged a copay)!

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I recommend traditional Medicare. Yes advantage plans start off cheaper. But as soon as you get sick they fight any and everything the Dr wants to do. Also you may not be able to switch back to Medicare once you start really needing medical care.

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@cmbaczenski: I am a realist and glad I choose to stay on Original Medicare. I was active, relatively healthy, good nutrition and healthy life style (never smoked & no alcohol); however, out of the blue I was diagnosed with Stage 4 cancer. Thankfully I have Original Medicare and UHC supplement insurance, because the treatment costs are more than you would believe and I have never received a bill for the treatment! I have requested 2nd opinions regarding medical care and NEVER had insurance question my medical needs. I did not have to wait for insurance to approve a referral, medication or decision on expensive treatments. Original Medicare plus a supplemental insurance is the BEST medical decision you can make.
You may want the smaller premium costs of the many medical insurance options you are tempted with, but if you love yourself enough you are worth the monthly premium of Original Medicare! No one can predict your medical needs… YOU need to be ready for anything!

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Profile picture for dbamos1945 @dbamos1945

@cmbaczenski: I am a realist and glad I choose to stay on Original Medicare. I was active, relatively healthy, good nutrition and healthy life style (never smoked & no alcohol); however, out of the blue I was diagnosed with Stage 4 cancer. Thankfully I have Original Medicare and UHC supplement insurance, because the treatment costs are more than you would believe and I have never received a bill for the treatment! I have requested 2nd opinions regarding medical care and NEVER had insurance question my medical needs. I did not have to wait for insurance to approve a referral, medication or decision on expensive treatments. Original Medicare plus a supplemental insurance is the BEST medical decision you can make.
You may want the smaller premium costs of the many medical insurance options you are tempted with, but if you love yourself enough you are worth the monthly premium of Original Medicare! No one can predict your medical needs… YOU need to be ready for anything!

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@dbamos1945

Well said. I have not been treated for cancer but that said, we have never had a bill from Medicare plus ubh supplemental for our ever increasing medical care.

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Go with traditional Medicare unless you can't afford it. I retired as Care Mgr. from the County Ageing Dept. We were always told stories regarding the difficulty of navigating advantage plans. It is difficult to switch to traditional once you are on Advantage plan. We had a friend who took an advantage plan with 0 premium, but he had to eventually switch to traditional Medicare. H e was able to do that because he had no medical history ( he never saw a Dr. ) Well, by the time he switched to Traditional Medicare, he had been diagnosed with colon cancer. ( unlucky, but lucky.) My sister had an advantage plan. She lived in Arkansas and went to visit her son in California. She became ill and was diagnosed with a brain tumor requiring immediate surgery. She had all kinds of problems with the insurance, because she was not in her home state. She considered paying out of pocket...she died.

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OMG how tragic. It’s just so frightening how the patient is of least concern. It’s all about the insurance companies making $$$. They make it sound like it’s the way to go. I’ve really struggled because as you said, it seems to be more costly. Thank you for sharing

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Profile picture for mary2249 @mary2249

I recommend traditional Medicare. Yes advantage plans start off cheaper. But as soon as you get sick they fight any and everything the Dr wants to do. Also you may not be able to switch back to Medicare once you start really needing medical care.

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@mary2249
Thank you for that. I assumed if it didn’t work, I could switch from advantage to traditional but I am hearing not!

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