Will Oxford Cover Test Cyp Injections?

[LongBeach_Patriot]

Hey. I have been on Androgel for month and a half and its really not raising my T like I want and need. I dont know my history of T levels because I havent had insurance in over 10 years until recently. When I did get my T checked after feeling like crap for a while and not recovering from workouts like I used to, it was 176. After going through a long process with Oxford, they finally approved to cover Androgel. The doctor had to send an appeals letter because they initially denied the request to cover the gel; they wanted me to take Tesim 1%. I go to pick up the Androgel at the pharmacy and it was about $125. F THAT. Thats just absurd.

So I am going to an endocrinologist with my past 4 sets of blood work and assume he will agree to do Test Cyp injections. It was tough getting the Androgel approved so I am worried about them approving the injections.

Anyone with some input?

Thanks,

 

[halfwit]

You probably had an issue with the diagnosis code and he had to revise it. My insurance won't cover my vials, but does cover the visits for testosterone replacement therapy (TRT) (not injection visits, so I had to take that into my own hands and do self injects). It looks like OHP does cover it and even has billing codes for both cypionate and enanthate, so you should be good to go assuming your diagnosis was what the problem was.
https://www.oxhp.com/secure/policy/drug_coverage_guidelines_comm_030912.html

 

[LongBeach_Patriot]

You probably had an issue with the diagnosis code and he had to revise it. My insurance won't cover my vials, but does cover the visits for testosterone replacement therapy (TRT) (not injection visits, so I had to take that into my own hands and do self injects). It looks like OHP does cover it and even has billing codes for both cypionate and enanthate, so you should be good to go assuming your diagnosis was what the problem was.
https://oxhp.com/secure/policy/drug_coverage_guidelines_comm_030912.html

Thanks bro.

so weird that its easier to get Injections appoved than Gel.

 

[halfwit]

Thanks bro.

so weird that its easier to get Injections appoved than Gel.

Gel tends to cost more. Even if they didn't cover it, you'd likely spend 2/3 of what you did WITH insurance covering the gel as cash price for a vial that lasts a couple months.