Prolia Infusion Medication - How to get you Doctor to file it with Part B Medicare.
More and more I hear of Doctor offices insisting you pick up the Prolia at the Pharmacy and bring it to the office for administering. If this is the process, it may cost you $1,200 every 6 months using your Part D plan. Well, here is how you can get Prolia as a Part B medication, and pay nothing more than the annual Part B deductible:
* You must be on Original Medicare with a Medicare Supplement Plan F, G or N. (If on a G HD plan, you may pay 20%.)
* Have the doctor send an order for a Prolia infusion to a local infusion clinic. Clinics in the Weatherford and Fort Worth area are below...
If you are on a Medicare Advantage plan, then the procedure will be billed as an Outpatient Surgery if the Infusion Clinic accepts your plan. Check you benefits to see your Outpatient Surgery co-pay.