Osteoporosis drugs
Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) help pay for osteoporosis injectable drugs and visits by a home health nurse to give you the injections if you meet all these conditions:
You’re a woman with osteoporosis who:
- Meets the criteria for Medicare home health services.
- Has a bone fracture that a doctor or other health care provider certifies is related to postmenopausal osteoporosis.
- Has a health care provider who certifies that you can't give yourself the injection or learn how to give yourself the injection, and your family members or caregivers are unable and unwilling to give you the injection.
Your costs in Original Medicare
- In most cases, after you meet the Part B deductible , you pay up to 20% of the Medicare-approved amount for covered Part B prescription drugs. Your coinsurance amount can change depending upon the drug’s price. You might pay a lower coinsurance amount for certain Part B-covered drugs and biologicals you get in a doctor’s office, pharmacy, or outpatient setting, if their prices have gone up faster than the rate of inflation.
- You pay nothing for the home health nurse visit to inject the drug.
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:
- Other insurance you may have
- How much your doctor charges
- If your doctor accepts assignment
- The type of facility
- Where you get your test, item, or service
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. Ask questions so you understand why your doctor is recommending certain services and if, or how much, Medicare will pay for them.