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11-01-2011, 12:06 PM #1Knowledgeable 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.
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11-01-2011, 12:42 PM #2
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!
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11-01-2011, 01:10 PM #3
that sux bass, my ins is united and i have adex covered. who is ur ins?
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11-01-2011, 01:31 PM #4Member
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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.
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11-01-2011, 01:32 PM #5Knowledgeable Member
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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.
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11-01-2011, 01:45 PM #6
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.
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11-01-2011, 01:57 PM #7HRT
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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?
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11-01-2011, 02:03 PM #8
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11-01-2011, 02:08 PM #9
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11-01-2011, 02:32 PM #10
dude, if you can, get United Healthcare, they cover everything, plus my labs are 100% covered
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11-01-2011, 02:59 PM #11
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11-01-2011, 03:11 PM #12Knowledgeable Member
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11-01-2011, 04:38 PM #13
Have you tried having your endo write your insurance carrier a "letter of medical need" showing cause. It may benefit your cause.
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11-01-2011, 05:13 PM #14
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.
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11-01-2011, 06:02 PM #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?????
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11-02-2011, 10:42 AM #16Associate 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.
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11-02-2011, 11:11 AM #17
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11-02-2011, 07:39 PM #18
Fred , how much test are u taking , same on the a/i ?
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11-03-2011, 08:40 AM #19Associate Member
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Originally Posted by JAMIE07652;579***6
.25mg AI 3x week. (Started with 1mg a week but that was a little too much).
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11-03-2011, 08:46 AM #20
fred , thats really cheap , id love to know how you get your gear soooo cheap ...pm me ?
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11-03-2011, 11:38 AM #21Associate 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.
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11-03-2011, 04:17 PM #22
fred , thats a nice deal ! ... thx for the heads up on the 50 posts .
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11-05-2011, 03:50 AM #23
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