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Spironolactone insurance coverage

Started by Amy1988, December 04, 2015, 09:33:20 AM

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Amy1988

December 04, 2015, 09:33:20 AM
Has anyone had problems with insurance, specifically United Healthcare/Caremark , covering Spironolactone?
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iKate

#1
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.

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RobynD

#2
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.


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Emjay

#3
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.




Start therapy:                            Late 2013
Start HRT:                                 April, 2014
Out everywhere and full time:      November 19, 2015
Name change (official):                            February 1, 2016
I'm a Mommy! (Again) :                             January 31, 2017
GCS consultation:                        February 17, 2017
GCS, Dr. Gallagher (Indianapolis, IN)  February 13, 2018
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Amy1988

#4
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.
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