Getting my insurance to pay for T...

[Greeneyedrebel]

I have Blue Cross/Blue Shield through work, and after jumping through many hoops and trying different angles, my doc has found what she believes to be a way to get them to pay for T. Not just injections, but gel or cream if I prefer.

There are studies out there that link hormone imbalances to migraines, and I am flat ate up with the migraines. (For those of you who may not speak 'Southern'...I have debilitating migraines usually once a month that last up to 72 hours) Seems that low levels of T in women (which my doc classifies as less than 80.....and the "normal" range for females runs to about 100 she tells me) can be a big factor in migraines because when the E levels drop as the body preps for shark week...there is not enough of the T to provide hormone function for the brain. And boom....here comes the three days of pure hell.

I have been on every migraine med they can think of. Yeah some work ok, and depending on when I catch the migraine (waking up with it already raging versus being awake and able to feel it coming on) I can either kill it completely withing about 8 hours or at least not be quite such a vegetable for 3 days.

So after a few phone calls and submitting some reports from the NIH (Nation Institutes of Health), my insurance company is going to cover the T on what they are calling a "trial" basis. If it has a positive effect on the migraines (which come on......like I'm going to tell them otherwise? LOL ) They will continue to cover it......in any form. They haven't set any limit on dosage, so that makes the doc and I both happy.

I know this may not apply to many other guys, but if you DO have migraines...it may be an "in" with an insurance plan that otherwise would leave you paying for T out of pocket entirely.....

[G]

That's awesome you're going to be able to get insurance to pay for your T. Mine didn't cover it before the new year but does now. No idea what changed but it makes a huge difference. Costs have went from $30 every month down to $15 every 5 months. I have Regence if anyone is interested. Hopefully more people can get their T covered.

[Greeneyedrebel]

That's awesome you're going to be able to get insurance to pay for your T. Mine didn't cover it before the new year but does now. No idea what changed but it makes a huge difference. Costs have went from $30 every month down to $15 every 5 months. I have Regence if anyone is interested. Hopefully more people can get their T covered.

Do you do mail order/compounded or how?

Wondering if that makes a difference.

[G]

Went to Walmart first then Kroger. I think that's what you're asking ?

[Rengar]

I have blue cross blue shields from work too and I pay 5 dollaroons for my hormones. I live in Colorado and apparently we passed something in 2013 which makes it so health insurance can't deny transgender care.

If the health insurance offers hormone injections for cis dudes with a hormone imbalance then there's no reason for them to deny it to a trans dude.

Same thing goes for top surgery. If a gal can get a breast reduction for back pain them there's no reason to deny a trans dude for top surgery.

[Ryan55]

anyone have united healthcare? I was told it does not cover T, but not exactly sure

[Felix]

Go for any angle that works. Grats on the progress.

My insurance will pay for T if I get it injected at the doctor's office, but I decided after awhile that paying 52 dollars twice a year was less onerous than going to the doctor every week.

[Ryan55]

if anyone has united healthcare, just called them up and they cover T, but the copay is $60 for one vial, if not out of pocket at like cvs its like $112, just figured if anyone else needs the information, i would put it out there lol