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  1. #1
    Juice Authority is offline Knowledgeable Member
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    HRT from your PCP (Primary Care Physician)

    I've been on prescription testosterone from my PCP for almost 2 years now. The benefit of that is 1x/yr bloodwork. The downside is most PCPs won't prescribe AI's or hCG mainly because they are not HRT experts. The standard method of treatment is 1x/weekly injections of 200mgs of Test Cyp. Even that is considered a high dose for HRT. So what the are options for insurance to cover ancillaries? Well, you can go to an Endocrinologist for your ancillaries, including hCG, but that requires monthly bloodwork = no cycling. It's interesting that insurance only requires 1x/yr bloodwork when prescribed by a PCP but 1x/monthly bloodwork when prescribed by an Endo.

  2. #2
    bass's Avatar
    bass is offline HRT Specialist ~ Knowledgeable Member
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    my insurance declined to cover Anastrozole because it was created for one purposes, to treat women with breast cancer. TRT to the insurance companies is like science to the religious institutions! they will reject it because they don't understand it!

  3. #3
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    warchild is offline Knowledgeable Member
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    that sux bass, my ins is united and i have adex covered. who is ur ins?

  4. #4
    sirupate is offline Member
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    Quote Originally Posted by Juice Authority View Post
    I've been on prescription testosterone from my PCP for almost 2 years now. The benefit of that is 1x/yr bloodwork. The downside is most PCPs won't prescribe AI's or hCG mainly because they are not HRT experts. The standard method of treatment is 1x/weekly injections of 200mgs of Test Cyp. Even that is considered a high dose for HRT. So what the are options for insurance to cover ancillaries? Well, you can go to an Endocrinologist for your ancillaries, including hCG, but that requires monthly bloodwork = no cycling. It's interesting that insurance only requires 1x/yr bloodwork when prescribed by a PCP but 1x/monthly bloodwork when prescribed by an Endo.
    Maybe it is your insurance plan requiring once per month bloodwork. My endo usually has me do bloodwork when I see him, and that is about every 3-4 months. Certainly often enough for me. My PCP, who has prescribed Androgel for me, would have to see me every 6 months here in the US as schedule III meds have to be re-prescribed every 6 months. The PCP, however, will not prescribe anything that my endo hasn't already written.

  5. #5
    Juice Authority is offline Knowledgeable Member
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    Quote Originally Posted by bass View Post
    my insurance declined to cover Anastrozole because it was created for one purposes, to treat women with breast cancer. TRT to the insurance companies is like science to the religious institutions! they will reject it because they don't understand it!
    Yep. That's why my doctor said I'd need to see an Endo to get a script for AI's and hCG . Even then, it's a 50/50 chance at best.

  6. #6
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    dfwo is offline Associate Member
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    My regular family doctor gave me my scrip for the test, but he didn't mention estrogen or AIs. I'm having blood work done before my next appt and I'm specifically asking for an E2 test, so I guess I'll go from there. I'm hoping I can stick with my regular guy and avoid going to an endo.

  7. #7
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    Quote Originally Posted by dfwo View Post
    My regular family doctor gave me my scrip for the test, but he didn't mention estrogen or AIs. I'm having blood work done before my next appt and I'm specifically asking for an E2 test, so I guess I'll go from there. I'm hoping I can stick with my regular guy and avoid going to an endo.
    Very important: Ask for the Sensitive panel...anything else is rather useless.

    Tell him your testicles are hurting and getting smaller by the day and you read it will continue till he adds in hCG .

    Ask him directly if he'd like that?

  8. #8
    dfwo's Avatar
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    Quote Originally Posted by gdevine View Post
    Very important: Ask for the Sensitive panel...anything else is rather useless.
    Yeah, I noticed that. I found a lab that offers the sensitive version at a pretty inexpensive price. Now, I just have to find the patience to wait six weeks.

  9. #9
    bass's Avatar
    bass is offline HRT Specialist ~ Knowledgeable Member
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    Quote Originally Posted by warchild View Post
    that sux bass, my ins is united and i have adex covered. who is ur ins?
    BlueShield!

  10. #10
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    dude, if you can, get United Healthcare, they cover everything, plus my labs are 100% covered

  11. #11
    bass's Avatar
    bass is offline HRT Specialist ~ Knowledgeable Member
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    Quote Originally Posted by bigboy67 View Post
    dude, if you can, get United Healthcare, they cover everything, plus my labs are 100% covered
    i wish i could, thats what my employer offers!

  12. #12
    Juice Authority is offline Knowledgeable Member
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    Quote Originally Posted by bigboy67 View Post
    dude, if you can, get United Healthcare, they cover everything, plus my labs are 100% covered
    Good to know. I have Aetna.

  13. #13
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    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Have you tried having your endo write your insurance carrier a "letter of medical need" showing cause. It may benefit your cause.

  14. #14
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    Quote Originally Posted by bass View Post
    my insurance declined to cover Anastrozole because it was created for one purposes, to treat women with breast cancer. TRT to the insurance companies is like science to the religious institutions! they will reject it because they don't understand it!

    Plus they reject it because they feel trt is more of a life "enhancement" like plastic surgery, they feel that you should pay for that on your own. Ive used Blue shield for most of my life, a lot of medications that are not covered... can be... but the doctor has to go through a process and prove the necessity of the situation for them to make a special exception for a particular person.
    Last edited by jamotech; 11-01-2011 at 05:19 PM.

  15. #15
    bigboy67's Avatar
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    I get that they can say its life enhancement if you are in normal ranges, but as a male with 112 E2, it IS medically necessary

    It sucks that they get to screw with our lives on TRT, but I can go buy CIGARETTES and BOOZE at any corner store which kill about a million Americans a year?????

  16. #16
    Fred40 is offline Associate Member
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    My AI (Generic Arimidex ) is running me under $5 a month with no insurance.

    My Test Cyp is running around $15 a month with no insurance.

  17. #17
    APIs's Avatar
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    Quote Originally Posted by kelkel View Post
    Have you tried having your endo write your insurance carrier a "letter of medical need" showing cause. It may benefit your cause.
    x2. That's a good idea. My PCP actually does that for an unrelated med/condition for a certain Migraine med that I get....

  18. #18
    JAMIE07652's Avatar
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    Fred , how much test are u taking , same on the a/i ?

  19. #19
    Fred40 is offline Associate Member
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    Quote Originally Posted by JAMIE07652;579***6
    Fred , how much test are u taking , same on the a/i ?
    100mg Test Cyp / Week

    .25mg AI 3x week. (Started with 1mg a week but that was a little too much).

  20. #20
    JAMIE07652's Avatar
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    fred , thats really cheap , id love to know how you get your gear soooo cheap ...pm me ?

  21. #21
    Fred40 is offline Associate Member
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    You need 50 posts to be PM'd.

    My test cyp is prescription from my Dr. but my insurance would not cover it because I was not completely off the scale for low T. My local family owned pharmacy sells the 10ml vials for $71 and that lasts about 5 months. Shop around and with a prescription you should be able to find similar pricing.

  22. #22
    JAMIE07652's Avatar
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    fred , thats a nice deal ! ... thx for the heads up on the 50 posts .

  23. #23
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    zaggahamma is offline Mr. Moderation
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    Quote Originally Posted by Juice Authority View Post
    I've been on prescription testosterone from my PCP for almost 2 years now. The benefit of that is 1x/yr bloodwork. The downside is most PCPs won't prescribe AI's or hCG mainly because they are not HRT experts. The standard method of treatment is 1x/weekly injections of 200mgs of Test Cyp. Even that is considered a high dose for HRT. So what the are options for insurance to cover ancillaries? Well, you can go to an Endocrinologist for your ancillaries, including hCG, but that requires monthly bloodwork = no cycling. It's interesting that insurance only requires 1x/yr bloodwork when prescribed by a PCP but 1x/monthly bloodwork when prescribed by an Endo.
    first EVER hearing of this

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