Community Conversation => Transitioning => Hormone replacement therapy => Topic started by: Amy1988 on December 04, 2015, 09:33:20 AM Return to Full Version
Title: Spironolactone insurance coverage
Post by: Amy1988 on December 04, 2015, 09:33:20 AM
Post by: Amy1988 on December 04, 2015, 09:33:20 AM
Has anyone had problems with insurance, specifically United Healthcare/Caremark , covering Spironolactone?
Title: Re: Spironolactone insurance coverage
Post by: iKate on December 04, 2015, 10:07:05 AM
Post by: iKate on December 04, 2015, 10:07:05 AM
Caremark is the worst. They will deny everything they can.
Spiro should be covered as a blood pressure medication. It is a cheap generic too so there is really zero reason to deny it. But they may and they probably do.
Spiro should be covered as a blood pressure medication. It is a cheap generic too so there is really zero reason to deny it. But they may and they probably do.
Title: Re: Spironolactone insurance coverage
Post by: RobynD on December 04, 2015, 10:25:43 AM
Post by: RobynD on December 04, 2015, 10:25:43 AM
Some states (including Oregon, my own) require insurance to cover anything related to a gender diagnosis. My insurance once denied a claim, and i had to remind them of the law. Claim accepted.
Title: Re: Spironolactone insurance coverage
Post by: Emjay on December 04, 2015, 03:10:31 PM
Post by: Emjay on December 04, 2015, 03:10:31 PM
I have BCBS so different company altogether but to answer your question no, I've never had an issue with them covering any of my HRT meds including Spiro.
iKate is dead on though, it's listed as a blood pressure medication (and cheap too) so they have no reason not to cover it.
iKate is dead on though, it's listed as a blood pressure medication (and cheap too) so they have no reason not to cover it.
Title: Re: Spironolactone insurance coverage
Post by: Amy1988 on December 04, 2015, 09:28:27 PM
Post by: Amy1988 on December 04, 2015, 09:28:27 PM
Well my problem is solved. It turns out that they didn't change the gender marker after I changed my name. Our HR lady got it changed for me.