Community Conversation => Transitioning => Hormone replacement therapy => Topic started by: Randy1980 on June 29, 2016, 05:51:13 PM Return to Full Version

Title: Hrt cost if insurance cover?
Post by: Randy1980 on June 29, 2016, 05:51:13 PM
Hello just curious of the rough cost of androgen blockers and estrogen if my insurance doesn't cover it all I'm trying to get an estimate of what it may cost me. I live in the u.s by the way
Title: Re: Hrt cost if insurance cover?
Post by: Deborah on June 29, 2016, 05:53:00 PM
It depends on your policy and its copay.  With mine I pay $10 per prescription if I go to the pharmacy or $0 if it do it through mail order.


Sapere Aude
Title: Re: Hrt cost if insurance cover?
Post by: Randy1980 on June 29, 2016, 05:59:34 PM
I'm asking the cost if I don't use insurance. Not sure if my insurance will cover it yet so I'm trying to figure out my worse case scenerio
Title: Re: Hrt cost if insurance cover?
Post by: Deborah on June 29, 2016, 06:41:21 PM
With a typical dose it will be about $30 for the estrogen and $55 for the spiro. 


Sapere Aude
Title: Re: Hrt cost if insurance cover?
Post by: Maybebaby56 on June 29, 2016, 06:46:48 PM
Hi Randy,

You can get a good idea of the costs by going to a site like goodrx.com.  Without insurance, spironolactone (50 mg tabs) is about $10-15/month.  Estradiol prices vary greatly, depending on the dosage form.  Tablets (1 mg) are cheap - also about $10-15/month.  Transdermal patches (0.1 mg/day) are the most expensive - they can run  $30-80 a box without insurance.

Hope that helps.

With kindness,

Terri
Title: Re: Hrt cost if insurance cover?
Post by: Kitty June on June 29, 2016, 06:55:17 PM
Transdermal run 24-28 with good rx at Walmart. That seems to be the cheapest and has kept me going while I don't have insurance. Thank god that that kicks in on the first.
Title: Re: Hrt cost if insurance cover?
Post by: Kitty June on June 29, 2016, 06:56:30 PM
Oh, good rx is the way to go if you don't have insurance. I was told about it by my first doctor for hrt. It's been a life saver
Title: Re: Hrt cost if insurance cover?
Post by: Randy1980 on June 29, 2016, 07:56:07 PM
So less than 100 a month for everything I would need.. that is managable.. hoping my insurance company will cover it but I'm a little concerned that it could get back to my employer in some way if I use the insurance. I read somewhere that if the Dr lists it as a hormonal imbalance you have a better chance of it being covered so I will look into that. Thank you all for your input I appreciate it
Title: Re: Hrt cost if insurance cover?
Post by: BreeD on July 01, 2016, 05:07:28 PM
Quote from: Randy1980 on June 29, 2016, 05:59:34 PM
Not sure if my insurance will cover it yet

I was really worried about insurance rebuking me, but so far, not even a blink from anyone.  Mine are all generic, covered by BC and $10 or less (except fin which I started for hair loss). 
Title: Re: Hrt cost if insurance cover?
Post by: WendyA on July 03, 2016, 11:57:15 AM
My insurance has an online tool where you can look up the specific drug to see if it's covered.  It also tells you if pre-approval or special circumstances apply.  With either spiro or estradiol no special reason is required, they were both covered.