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.
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
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 of the costs.