1. < Osteoporosis & Bone Health

Medicare B coverage of Evenity

Posted by amli65 @amli65, Sep 12, 2022

Medicare B coverage info for Evenity. How much do they pay per month for it. Medicare could not answer the question about cost or the assignment they pay per month. Does anyone know?
The amount would help to see if it would be affordable.

Thank you in advance for your input

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susanfalcon52 | @susanfalcon52 | Nov 19, 2023
In reply to @hardingv "If you have traditional Medicare (with or without a medigap plan), Tymlos is not covered under..." + (show)
@hardingv

If you have traditional Medicare (with or without a medigap plan), Tymlos is not covered under Part B. Rather you need a Part D RX plan. (I don't know anything about Medicare Advantage plans.)

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We are still in Open Enrollment- until December 7. Now is the time to call 1-800-Med-ICAR and shop for a Part D plan. They can tell you which ones cover Tymlos or whatever you are interested in.

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kristie2 | @kristie2 | Nov 19, 2023
In reply to @susanfalcon52 "I had my sixth dose of Evenity last week. My Medicare Part B covered it at..." + (show)
@susanfalcon52

I had my sixth dose of Evenity last week. My Medicare Part B covered it at 100% because I have it in an infusion center.

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Susan ,
I can’t remember if you told us if you have the advantage plan ? My insurance rejected the infusion center and I give my own injections. I live in Nevada and all states are different I guess . I was paying $560. Per shot and my recent went down to $340 .

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1 reply
susanfalcon52 | @susanfalcon52 | Nov 20, 2023
In reply to @kristie2 "Susan , I can’t remember if you told us if you have the advantage plan ?..." + (show)
@kristie2

Susan ,
I can’t remember if you told us if you have the advantage plan ? My insurance rejected the infusion center and I give my own injections. I live in Nevada and all states are different I guess . I was paying $560. Per shot and my recent went down to $340 .

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Kristie2,
I’m not on an Advantage plan. I’m on traditional Medicare. Part B pays for Evenity because I have it in infusion center.

REPLY
1 reply
kristie2 | @kristie2 | Nov 20, 2023
In reply to @susanfalcon52 "Kristie2, I’m not on an Advantage plan. I’m on traditional Medicare. Part B pays for Evenity..." + (show)
@susanfalcon52

Kristie2,
I’m not on an Advantage plan. I’m on traditional Medicare. Part B pays for Evenity because I have it in infusion center.

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Thanks

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