Prolia is an injectable medication used for treatment of post-menopausal women who have osteoporosis.
If you are at high risk for fracture, and other osteoporosis medications are ineffective, or if you have an allergic reaction to those medications, it is possible that Medicare will cover the medication subject to a recommendation by your doctor.
Independent Agent & Medicare Supplement Specialist, reMEDIGAP, USA
Prolia is covered under Medicare Part B (Medical insurance) as a drug injected in the doctor's office (once every 6 months). It's a drug that needs to be stored at a proper temperature, protected from light, and has a 14 day expiration. So, even though, it is also covered under many PDP (Medicare Part D) plans, your doctor is more likely to obtain and administer it.
If you have Medigap (Medicare Supplement insurance), your plan may cover the remaining 20% of the cost that Medicare Part B does not pay. You can check with your insurance company or talk to someone who specializes in Medicare Supplements to review your benefits.
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If you are at high risk for fracture, and other osteoporosis medications are ineffective, or if you have an allergic reaction to those medications, it is possible that Medicare will cover the medication subject to a recommendation by your doctor.
If you have Medigap (Medicare Supplement insurance), your plan may cover the remaining 20% of the cost that Medicare Part B does not pay. You can check with your insurance company or talk to someone who specializes in Medicare Supplements to review your benefits.