Community Conversation => Transitioning => Hormone replacement therapy => Topic started by: allisonsteph on July 13, 2016, 03:07:44 PM Return to Full Version
Title: Insurance Issues
Post by: allisonsteph on July 13, 2016, 03:07:44 PM
Post by: allisonsteph on July 13, 2016, 03:07:44 PM
My insurance won't cover the HRT dose prescribed by my doctor; they will only allow half. In other words I'm prescribed 16 twice weekly patches but my insurance will only pay for 8. Has anyone else had similar experiences and if so were you able to resolve them?
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Title: Re: Insurance Issues
Post by: Danny4302 on July 13, 2016, 07:44:55 PM
Post by: Danny4302 on July 13, 2016, 07:44:55 PM
It's important to know what state you are in, every state has different laws when it comes to medical providers
Title: Re: Insurance Issues
Post by: KarynMcD on July 14, 2016, 11:30:30 AM
Post by: KarynMcD on July 14, 2016, 11:30:30 AM
If you are only supposed to apply one patch at a time, it sounds like they will only pay for one month worth of patches, which is pretty normal.
Just pick up the first 8 patches and pick up the rest in a month.
Just pick up the first 8 patches and pick up the rest in a month.
Title: Re: Insurance Issues
Post by: Barb99 on July 14, 2016, 12:34:22 PM
Post by: Barb99 on July 14, 2016, 12:34:22 PM
Had the same type of problem with my insurance on injections.
My doc wrote the prescription as a 69 day supply and the insurance company wanted a $200 deductible.
Had the doc change the quantity to 30 and the deductible maniacally went to $10 for the same 5ml vial.
My doc wrote the prescription as a 69 day supply and the insurance company wanted a $200 deductible.
Had the doc change the quantity to 30 and the deductible maniacally went to $10 for the same 5ml vial.