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Thread: Flippin insurance won't cover my AI :(

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    Lunk1's Avatar
    Lunk1 is offline aka "JOB"
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    Flippin insurance won't cover my AI :(

    Started TRT and after 8 weeks my estrodial level was through the roof on 100mg test per week. 210 range 10-44!

    I finally get my doc to realize the benefit of an AI after she consults with a cpl endo's (ones solution was drop the test dose lower) DUMB ASS!

    She just text me and said that the AI would not be covered by insurance because it's considered a breast cancer drug, yet the TRT is fully covered.


  2. #2
    bass's Avatar
    bass is offline HRT Specialist ~ Knowledgeable Member
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    that sucks! get them from Costco, they are dirt cheap.

  3. #3
    Lunk1's Avatar
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    Quote Originally Posted by bass View Post
    that sucks! get them from Costco, they are dirt cheap.
    Honestly I have not priced the scrip yet. She is likely going to write it but the simple fact it's not covered pisses me off. I pay good $ for good (bahahahah) insurance!

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    xcraider37 is offline Associate Member
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    Quote Originally Posted by Lunk1 View Post

    Honestly I have not priced the scrip yet. She is likely going to write it but the simple fact it's not covered pisses me off. I pay good $ for good (bahahahah) insurance!
    Sometimes Costco price is cheaper than your insurance copay. It pays to shop around, Walmart/costco to name a few.

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    bass's Avatar
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    Quote Originally Posted by Lunk1 View Post
    Honestly I have not priced the scrip yet. She is likely going to write it but the simple fact it's not covered pisses me off. I pay good $ for good (bahahahah) insurance!
    if you live in the US, you'll be more screwed when Obama care kicks in!
    Beethoven likes this.

  6. #6
    kelkel's Avatar
    kelkel is offline HRT Specialist ~ AR-Platinum Elite-Hall of Famer ~ No Source Checks
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    Have your doctor write a "Letter of Medical Necessity" to your carrier and plan administrator. Often times it helps.
    -*- NO SOURCE CHECKS -*-

  7. #7
    Lunk1's Avatar
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    Quote Originally Posted by kelkel View Post
    Have your doctor write a "Letter of Medical Necessity" to your carrier and plan administrator. Often times it helps.
    Thanks Kel. She finally scripted after I spoke to her a bit more aggressively and she consulted with an endo lol. I'll start protocol, test in 2 weeks and show her the necessity. I'm going to get her trained yet lol

  8. #8
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    Quote Originally Posted by xcraider37 View Post
    Sometimes Costco price is cheaper than your insurance copay. It pays to shop around, Walmart/costco to name a few.
    I can vouch for that.even bp med was cheaper by $5 than the insurance. Test is definitely cheaper there.
    Kel, you are right on the money, unfortunately.

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    xcraider37 is offline Associate Member
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    Quote Originally Posted by Beethoven View Post
    I can vouch for that.even bp med was cheaper by $5 than the insurance. Test is definitely cheaper there.
    Kel, you are right on the money, unfortunately.
    Yes the BP's are dirt cheap @ Costco. For ex. My copay for BP drug is $10.00 per month. @ Costco no insurance, 3 month supply less than $10.00. Crazy what a scam insurance can be if your not informed.

  10. #10
    zerodarkthirty's Avatar
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    Bizarre. My insurance covers almost nothing of the TRT meds (test cyp and HCG ) and ALL of the AI costs (regardless of type). So much variation in insurance coverage….and little common sense.

  11. #11
    JAMIE07652's Avatar
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    My test is covered , my syringes Aren't !

  12. #12
    kelkel's Avatar
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    Quote Originally Posted by JAMIE07652 View Post
    My test is covered , my syringes Aren't !
    Oddly, that's common.
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  13. #13
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    My insurance does not cover trt

  14. #14
    BallSak is offline Associate Member
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    Quote Originally Posted by bass View Post
    that sucks! get them from Costco, they are dirt cheap.
    What bass said. Cost me $13 for a year's worth of anastrozole from Costco mail order pharmacy.

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