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 an injectable drug for osteoporosis in certain women. Medicare also covers the visit by a home health nurse to give 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 was related to post-menopausal osteoporosis
- Certified by a doctor as unable to learn or unable to give themselves the drug by injection, and family and/or caregivers are unable or unwilling to give 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 give the drug.
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