Page 6 - Cover Letter & Evaluation for Carol Evans

6/6/2018 Osteoporosis drugs for women | Medicare.gov

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Your Medicare Coverage

Is my test, item, or service covered?

Osteoporosis drugs for women

How often is it covered?
Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) help pay for both of these:

An injectable drug for osteoporosis in certain women
The visit by a home health nurse to inject the drug
Who's eligible?
Women with Medicare are covered if they:

Are eligible for Part B
Meet the criteria for Medicare home health services
Have a bone fracture that a doctor certifies is related to post-menopausal osteoporosis
Are certified by a doctor as unable to learn to give themselves the drug by injection. And, family members and/or
caregivers are unable or unwilling to give the woman the drug by injection.
Your costs in Original Medicare

You pay 20% of the Medicare-approved amount for the cost of the drug, and the Part B deductible applies. You pay nothing
for the home health nurse visit to inject the drug.

Note
Note
To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific
To find out how much your test, item, or service will cost, talk to your doctor or health care provider. The specific
amount you’ll owe may depend on several things, like:
amount you’ll owe may depend on several things, like:
Other insurance you may have
Other insurance you may have
How much your doctor charges
How much your doctor charges
Whether your doctor accepts assignment
Whether your doctor accepts assignment
The type of facility
The type of facility
Where you get your test, item, or service
Where you get your test, item, or service

Note
Note
Your doctor or other health care provider may recommend you get services more often than Medicare covers.
Your doctor or other health care provider may recommend you get services more often than Medicare covers.
Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all
Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all
of the costs. Ask questions so you understand why your doctor is recommending certain services and whether
of the costs. Ask questions so you understand why your doctor is recommending certain services and whether
Medicare will pay for them.
Medicare will pay for them.

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