Results 1 to 23 of 23

Thread: HRT from your PCP (Primary Care Physician)

  1. #1
    Join Date
    Sep 2004
    Posts
    610

    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
    Join Date
    Mar 2009
    Location
    In Southern Commiefornia
    Posts
    9,332
    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
    Join Date
    Jun 2008
    Posts
    5,963
    that sux bass, my ins is united and i have adex covered. who is ur ins?

  4. #4
    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
    Join Date
    Sep 2004
    Posts
    610
    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
    Join Date
    Oct 2011
    Posts
    210
    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
    Join Date
    Dec 2010
    Location
    South Fla
    Posts
    4,713
    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
    Join Date
    Oct 2011
    Posts
    210
    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
    Join Date
    Mar 2009
    Location
    In Southern Commiefornia
    Posts
    9,332
    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
    dude, if you can, get United Healthcare, they cover everything, plus my labs are 100% covered

  11. #11
    Join Date
    Mar 2009
    Location
    In Southern Commiefornia
    Posts
    9,332
    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
    Join Date
    Sep 2004
    Posts
    610
    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
    kelkel's Avatar
    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
    Join Date
    Sep 2010
    Location
    East Coast Dungeon
    Posts
    29,916
    Have you tried having your endo write your insurance carrier a "letter of medical need" showing cause. It may benefit your cause.

  14. #14
    Join Date
    May 2002
    Location
    East side
    Posts
    587
    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
    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
    Join Date
    Aug 2011
    Posts
    273
    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
    Join Date
    Sep 2010
    Location
    Avoiding newbies @ gym...
    Posts
    1,321
    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
    Join Date
    Aug 2010
    Location
    NORTH NJ
    Posts
    288
    Fred , how much test are u taking , same on the a/i ?

  19. #19
    Join Date
    Aug 2011
    Posts
    273
    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
    Join Date
    Aug 2010
    Location
    NORTH NJ
    Posts
    288
    fred , thats really cheap , id love to know how you get your gear soooo cheap ...pm me ?

  21. #21
    Join Date
    Aug 2011
    Posts
    273
    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
    Join Date
    Aug 2010
    Location
    NORTH NJ
    Posts
    288
    fred , thats a nice deal ! ... thx for the heads up on the 50 posts .

  23. #23
    Join Date
    Mar 2006
    Location
    Orlando
    Posts
    19,486
    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

Thread Information

Users Browsing this Thread

There are currently 1 users browsing this thread. (0 members and 1 guests)

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •