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Masonjames: I’ve been using Androgel for years and it does the trick and is easy for me. My doctor offers pellets and I am considering in them. He told me that insurance doesn’t cover pellets. I’m on a Medicare advantage plan, so would be interested how your Dr gets you covered by insurance.

@Masonjames:

I too want to know how you got Medicare to pay for your pellets. I have straight Medicare with BCBShield secondary and my T levels had to test below 300 twice in a 6 Month period to be Medicare eligible for them to pay even part of my T Cypionate injections of 1 ml every two weeks.

What Medicare plan are you on and how in the world did you get them to pay for pellets. My uro says pellets are the gold standard in treating low T and in its benefits to aging men. However, the uro said Medicare would never pay for T Pellets which he said cost about 300 dollars every three months for the implantation of pellets. Please educate us bro.

If you men have Express Scripts as your Medicare drug program, run like a spotted ape. These people are not your friends.

archway wrote:Masonjames: I’ve been using Androgel for years and it does the trick and is easy for me. My doctor offers pellets and I am considering in them. He told me that insurance doesn’t cover pellets. I’m on a Medicare advantage plan, so would be interested how your Dr gets you covered by insurance.

A lot of doctors are misinformed on insurance coverage. I've had pellets implanted here at home and in Atlanta. All have been paid for by Medicare. I had Medicare A.B. & D plus a supplement form Omaha. They will limit the number of pellets they will pay for. I think it's 6 every three months
You need to talk to his billing department and see what they tell you.

P.S. I wish the creams had worked for me but there was an absorbsion issue somehow

I don't know why Medicare isn't covering the cost of your pellets. All I know is that I've never been billed anything for them and I've been on them for over two years. They only pay for six pellets every three months but they do pay.
Don't know myself but could it be a State thing? I'm from Georgia but I would think Medicare would be universal. I've never had insurance pay for any other form of TRT. Only the implants

Test Cyp, .35ml subcutaneously 2x per week. My test was below average, in the 300s, and this brought it up to ~800. I was at ~800 for 3 months with no change in ability to get/maintain erections, and that's when I decided to proceed with the implant surgery.

While this was reviewed in the medical history with my implant doctor, it wasn't considered noteworthy enough to discuss any potential impacts.

I’m on injections every two weeks and have been for quite a few years.It makes all the difference in the world in my overall energy level on a daily basis and my Libdo stays high.Everyone should get there T level checked on a routine basis when you hit 50!

Good Morning,

Mason james question on Medicare pays for pellets (regular Medicare) or Medicare D (prescription plan). I know my Medicare D plan doesn't pay for my testosterone cypionate , i have a cheap plan, so I buy it thru GoodRx. When I had PD medicare paid for the XIAFLEX & I had 2 cycles of 2 shot & by the way it didn't work. XIAFLEX was almost $8k a shot.

Junior

peyroniesjr wrote:Good Morning,

Mason james question on Medicare pays for pellets (regular Medicare) or Medicare D (prescription plan). I know my Medicare D plan doesn't pay for my testosterone cypionate , i have a cheap plan, so I buy it thru GoodRx. When I had PD medicare paid for the XIAFLEX & I had 2 cycles of 2 shot & by the way it didn't work. XIAFLEX was almost $8k a shot.

Junior

You are correct on Medicare not paying for testosterone cypionate. I paid out of pocket when I was on the injections also.

My AARP United Healthcare Medicare Advantage pays for most all of mine.

stmfttr wrote:

smphead wrote:

stmfttr wrote:
Injections, every other week, 1mL, upper thigh
stmfttr

What kind of T? Do you self-inject, and which gauge size needle?

smphead,
Testosterone Cypionate 1mL (200mg/mL)
Self inject
Syringe = BD 3mL, luerlock, 22gx1"
stmfttr

For how long are you on injections now? 22g is like a harpoon, doesn't it hurt a lot and how about scar tissue?