Your Medicare Coverage
Is my test, item, or service covered?
Osteoporosis drugs for women
How often is it covered?
- An injectable drug for osteoporosis in certain women
- The visit by a home health nurse to inject 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 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
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
- Whether 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 whether Medicare will pay for them.