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Ok I Have Some New Questions

Milly

By Milly,
in Hormone Replacement Therapy

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Milly Germanium Member

Milly

Posted
Posted

I am about to call a gynecologist or whatever, she was recommended by my GT. Anywho, I want to make sure we don't go through the same fiasco we did 2 days ago. My questions are this.

1. Is it legal and recommended to ask them to work with me on my insurance by asking them to run it under something other than hrt bloodtest so insurance will cover it? Last doctor said hrt to the insurance people and they said they will only cover it if I come in sick or some crap. I have cigna starbridge.

2. Er actually thats my only question for now.

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Carolyn Marie Platinum Member

Carolyn Marie

Posted
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I know and have heard of many doctors who use a diagnostic code other than GID, such as endocrine disorder. It won't hurt to ask. Of course, having an OB-GYN treat a male patient (if that's how your shown on their records) could raise some eyebrows at the insurance company.

Good luck, hon.

HUGS

Carolyn Marie

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Guest JaniceW

Guest JaniceW

Posted
Posted

I am about to call a gynecologist or whatever, she was recommended by my GT. Anywho, I want to make sure we don't go through the same fiasco we did 2 days ago. My questions are this.

1. Is it legal and recommended to ask them to work with me on my insurance by asking them to run it under something other than hrt bloodtest so insurance will cover it? Last doctor said hrt to the insurance people and they said they will only cover it if I come in sick or some crap. I have cigna starbridge.

2. Er actually thats my only question for now.

Ashley,

It is perfectly legal to discuss the insurance issue with your doctor. They have latitude in how they code the stuff they do without committing outright fraud and sometime the tiniest change in a billing code can make the difference between being covered and not covered. I am not sure with your insurance but I do know that one person had their HRT coded as hormone adjustment treatment and insurance covered that. Insurance may bark at estrogen for a male, but the cost of estrogen is minimal, it is the doctor visits that you want to worry about not the meds.

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Guest Donna Jean

Guest Donna Jean

Posted
Posted

.

There are genetic males with different problems on Estrogen, Spiro and so forth...Prostate cancer is one of those...

My doctor just coded my meds as "Horemone Imbalance" and after all...isn't that exactly what it is?

Donna Jean

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Milly Germanium Member

Milly

Posted
  • Author
Posted

Well this is more about the actual bloodwork to get the hrt. However im glad u brought that up, do I still get the walmart meds on the cheap plan 4 bucks or whatever "even" if they don't cover it on my insurance?

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Guest KimberlyF

Guest KimberlyF

Posted
Posted

Endocrine or hormone issue would be the best way to code it cause it's not going to be 1 blood test but a few ESP in the start. I bleed when I walk in the office now after the last 4 months

Kim

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JJ Gold Member

JJ

Posted
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Because I have a condition classified as ultimately terminal-it can be decades by the way so no sympathy needed:)-I cannot get any insurance at any price. Bbut Wal-Mart still gives me $4 prescriptions. In fact it's people like me they created it for.

Bless Wal-Mart. For that anyway.

John

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Milly Germanium Member

Milly

Posted
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Ok im scheduled with a doctor named ridley. Dec 31st. New years resolution. Get hrt and be the girl within. ^_^ im ready. I can wait. I've gone this far, ill not give up. And um think my roommates flirting with me :x im not sure how I feel, this is kinda weird. :x

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Guest JaniceW

Guest JaniceW

Posted
Posted

Ok im scheduled with a doctor named ridley. Dec 31st. New years resolution. Get hrt and be the girl within. ^_^ im ready. I can wait. I've gone this far, ill not give up. And um think my roommates flirting with me :x im not sure how I feel, this is kinda weird. :x

Ashley,

Absolutely fabulous!!!

The time will fly by and New Years will be here sooner than you ever expected.

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JJ Gold Member

JJ

Posted
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Posted

Great about the appointment. Even better about your resolution! You can do it.

And the roommate? That can be tricky. My advise is to ignore it and stay friendly until you decide how you feel and have examined all the possible consequences from best to the very worst. Things can go south fast in a situation with a roommate.

Hugs

John

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Carolyn Marie Platinum Member

Carolyn Marie

Posted
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:) Great news, Ashley!

See, what have I been telling you, girl? You WILL get to the finish line. Just a little longer.

Buy your ticket now, hon. The Womanhood Express will be arriving soon. :)

Carolyn Marie

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Guest Donna Jean

Guest Donna Jean

Posted
Posted

Ok im scheduled with a doctor named ridley. Dec 31st. New years resolution. Get hrt and be the girl within. ^_^ im ready. I can wait. I've gone this far, ill not give up. And um think my roommates flirting with me :x im not sure how I feel, this is kinda weird. :x

1) way cool... ;)

2) way weird... :blink:

Donna Jean

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Guest KimberlyF

Guest KimberlyF

Posted
Posted

Be careful. This is the roommate with the pregnant dog mom, right? If she thinks the soul of her cub is in trouble momma bear could make serious problems for you.

Kim

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Milly Germanium Member

Milly

Posted
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Yeah I don't think ill be do anything. Besides I don't wanna date right now. I don't feel emotionally stable and I don't want to get hurt and go down here from there. Not right now anyway. Im not ready. :x anyway back to sleep

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Milly Germanium Member

Milly

Posted
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Btw thanks for all the help and pushing. Maybe it will pick up. For now I can save and keep losing weight. Developed a love for the gym on my off days. I get alot of exercise at work too ^_^

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