Need Info on Prolia/Medicare: Could anyone in the US... - NRAS

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Need Info on Prolia/Medicare

JoAnnGuthery profile image
7 Replies

Could anyone in the US tell me if you know if Medicare B or D will pay for Prolia injections and how much they will pay.

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JoAnnGuthery profile image
JoAnnGuthery
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Sandy1947 profile image
Sandy1947

I have Medicare and AARP and Prolio was covered 100%. Call Medicare and your supplementary insurance to determine coverage. You should be OK. Prolio must be really strong stuff. I had 10% increase in scores after the shot. Getting next injection in Oct. It wasn’t approved by FDC until June for use with steroids so I had Reclast last year.

Good luck!

JoAnnGuthery profile image
JoAnnGuthery in reply toSandy1947

Thanks, am going to call. I like you have AARP supplement but a couple years ago I called and the lady said they would only pay like half so I don't know if she just told me wrong or things have changed...thanks so much though because I am at the point I know I need the Prolia..thanks again

Sandy1947 profile image
Sandy1947 in reply toJoAnnGuthery

Let us know what happens.

JoAnnGuthery profile image
JoAnnGuthery in reply toSandy1947

I will let you know if I also can get the Prolia at no cost to me. Did you have to call both Medicare and your AARP supplement? I am supposing it is cover under Medicare Part B?

Sandy1947 profile image
Sandy1947 in reply toJoAnnGuthery

My Dr. submitted paperwork for me so it was magically covered.

khauther profile image
khauther in reply toSandy1947

Have you had any side effects?

Sandy1947 profile image
Sandy1947 in reply tokhauther

No

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