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Does Medicare Cover Boniva?

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By Daniel Petkevich
Nov 29, 2022

Yes, if you meet the criteria

As you get older, your risk for Osteoporosis increases. For those with Osteoporosis related to menopause, Boniva is one of the many medications that Medicare covers. However, there are stipulations for you to meet to receive coverage. Read more to find out what these stipulations are to get Medicare coverage for Boniva.

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What is Boniva?

Boniva, also known as Ibandronate Sodium, is a medication used to slow the thinning of bones. It can be taken orally or injected and is prescribed to those with postmenopausal Osteoporosis.

Who is eligible for Medicare coverage of Boniva?

To receive Medicare coverage for home injections of Boniva, you must meet the following criteria:
  • You must be a woman enrolled in Part B of Medicare, and eligible for home services.
  • You have a bone fracture related to postmenopausal Osteoporosis
  • Your doctor must certify that the medication is medically necessary and that there are no other options for treating your condition
Assuming you meet the above criteria, you will be eligible for Part B coverage.

How to take advantage of Medicare's coverage of Boniva

As covered by Part B, you could be responsible for 20% of the Medicare-approved amount. If you have a

Medicare Supplement Plan G

, you would only be responsible for the Part B deductible. Prices may vary on Medicare Advantage plans. Check with your plan provider to manage out-of-pocket costs.
If you meet the criteria above, you can receive coverage of Boniva through Medicare Part B. You should talk to your doctor about how best to take these medications, as well as discuss any potential side effects and risks associated with them. Your doctor will also be able to provide more information regarding the costs of treatment and how much Medicare will cover.
Remember, it is important to talk to your doctor first before taking any medications and ask questions if you have them. This will help ensure that you get the most out of Medicare coverage of Boniva and any other medication treatments you may need.

What are the benefits of taking Boniva?

Boniva is an effective treatment for Osteoporosis and can help reduce the risk of fractures that occur as a result of thinning bones. It also helps to restore bone density and can even reverse the effects of bone loss. Additionally, Boniva may be taken orally or via injection depending on your symptoms, making it an ideal option for those who have difficulty taking medications in pill form.

Conclusion

Boniva is an important medication for those with Osteoporosis, and Medicare can help you gain access to this potentially life-saving treatment. Talk to your doctor for more information about if Boniva might be the right choice for you and how much coverage you may receive from Medicare. This content is for informational purposes only. If you have questions about your Medicare plan, speak with an expert at Fair Square Medicare today.

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Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

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