Does Insurance Cover Testosterone Replacement Therapy?

If you are experiencing decreased libido, reduced sex drive, or any other signs of low testosterone, and you are wanting to seek testosterone replacement therapy (TRT) then it is possible that you might be worried about the cost. And have many questions in your mind like (how much you might have to spend for the therapy or whether is it covered by your health insurance company.  Therefore, below we have guided you in detail regarding insurance coverage of TRT.


TRT Eligibility:

According to FDA, only those males are eligible for testosterone replacement therapy who have low testosterone levels because of the testicles, pituitary gland, or brain disorders, which is known as hypogonadism.



Will insurance cover my testosterone replacement therapy?

No, testosterone replacement therapy is entirely covered by your funds. However, some insurance companies could pay for some charges like lab fees and continuous medication costs. Furthermore, the specific amount your insurance company is likely to pay depends on several variables, including your insurance provider, your deductible details, your health plan, and the kind of services you receive.


How can I qualify for insurance for my testosterone replacement therapy?

1. Understanding your insurance benefits:

You won’t just be paying for testosterone replacement therapy while you are receiving treatment instead it also includes recurring blood tests, routine doctor appointments, and some other costs. And that is why you must know and understand the benefits covered by your insurance provider because some insurance companies offer policies that cover all of the therapy’s aforementioned components. Whereas on the other hand some insurance policies with low deductibles, do not cover key components of therapy, such as clinic visits or blood tests.


2. Blood test reports:

You are usually required to have two independent blood tests done, typically in the morning, that show you have a low testosterone level of 350ng/dL because most insurance companies will pay for your testosterone replacement therapy treatments when you have a proper lab result showing a low T level.


3. Established diagnosis by a licensed physician:

Now you must make an appointment with your physician for a thorough physical examination because many serious problems and clinical disorders can develop as a result of low testosterone. Furthermore, once your doctor verifies a valid need for testosterone therapy, your health insurance provider will typically pay for it.


What is the cost of different testosterone replacement therapy formulations?

TRT formulation is one of the crucial factors to consider while estimating the price of testosterone replacement therapy because the price varies according to the formulation your doctor recommends for you. Also if you are seeking health insurance coverage for your treatment in that case it is important to consider this factor as well.

In general, TRT injections are the least expensive choice. A single 200 mg/mL testosterone vial can cost between $40 and $100 every month without any insurance. On the other hand, the price of inserting testosterone pellets is the most expensive and varies. A single pellet insertion operation, typically costs between $650 to $750, depending on the dose and the number of pellets needed. And for transdermal testosterone formulations like gels and patches, the monthly cost can range from $30 to $500.


Affordable testosterone replacement therapy

Your health and well-being are our topmost priority at Limitless Alternative Medicine. That is why we offer the most secure and economical testosterone replacement therapy in Los Angeles.

Contact us today to speak with our helpful and trained staff to learn more about testosterone replacement therapy and the discounts we might be able to offer you. Also, we do offer free consultations which include questions about your lifestyle, problems, and reasons (why you think you are a good candidate for testosterone replacement therapy).



Is Testosterone Replacement therapy covered by Medicaid?

Both Medicaid and the majority of commercial health insurance policies do not cover testosterone replacement therapy. But luckily, there are other ways to assist you to pay for this treatment.

What to do if I do not have any insurance plan?

You should speak with your doctor, who can provide you with various treatment options that might be within your price range.

Is sperm count affected by low testosterone?

Your sperm count may be affected by low testosterone, but even at reduced levels, healthy sperm can still be produced.

What are the symptoms of low T levels?

  • Decreased sex desire
  • Difficulty getting an erection
  • Breast tissue growth
  • Other unexplained reproductive difficulties
  • Hair loss on the face or body
  • Reduced bone density
  • Decreased muscle growth

What are the two types of testosterone tests?

To measure the level of testosterone in the blood, two different testosterone tests are carried out.

  • Total testosterone tests: detect both attached and free testosterone.
  • Free testosterone tests: which detect only free, or unattached, testosterone.