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View Full Version : Prolia shot under medicare part B?


Jerseyjd
12-21-2020, 05:21 PM
Has anyone had success finding a doctor who is willing to bill a prolia shot under medicare part B instead of the part D prescription plan which can entail a very expensive copay?Currently working with Premier Medical to find a referral as their corporate policy will not allow part B billing for this drug as to do so would require an initial cash outlay on their part. This is for my mom who lives with us in The Villages.

JC419
12-21-2020, 08:54 PM
I get my Prolia shot at Florida Cancer Specialists and they bill Medicare part B. Just got my second shot Friday from them. Hope that helps.

Carla B
12-21-2020, 10:55 PM
I get my once per year Reclast infusion from Fl Cancer Specialists, also. It's billed to Medicare B.

Dana1963
12-22-2020, 10:34 AM
Has anyone had success finding a doctor who is willing to bill a prolia shot under medicare part B instead of the part D prescription plan which can entail a very expensive copay?Currently working with Premier Medical to find a referral as their corporate policy will not allow part B billing for this drug as to do so would require an initial cash outlay on their part. This is for my mom who lives with us in The Villages.
The majority of commercial and Medicare plans cover Prolia®. The list price for Prolia® is $1,278.79* ,† per treatment every six months. Most patients do not pay the list price. Your actual cost will vary.Jan 17, 2020
Call your insurance provider

Heartnsoul
02-18-2021, 08:38 AM
How about a rhumotolgist?