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Insurance wouldn't pay for bloodwork

enacer420nj

Well-known member
I called my docs office to get a script to have blood taken and told them what I wanted. They wouldnt include prostate and test levels due to my age, (27) said insurance wouldnt pay. I wanted to get levels checked before I started my next cycle. They are doing

Basic Metabolic Panel
Hepatic Function Panel
Lipid Panel
CBC w Diff W Plt

Im kinda pissed I wanted to know what my levels are....
 
Yeah - my reg doc sucks about that too. You'd think it was coming directly out of their pocket. I pay out of my pocked with privatemdlabs.com.
 
centy said:
Yeah - my reg doc sucks about that too. You'd think it was coming directly out of their pocket. I pay out of my pocked with privatemdlabs.com.

How are they? Which tests do you get and how much does it cost total
 
Well, it ain't exactly cheap, but I think it's definitely worth it. If you ala carte everything, you can easily spend a grand. For the bare bones test it's about $230.

- Complete Blood Count w/ Differential
- Healthy Heart Cholesterol Profile
- Liver Function Profile
- Kidney Function Profile
- Comprehensive Metabolic Panel
- Serum Iron
- Complete Urinalysis Profile
- Serum Electrolytes
I add in
Testosterone, Serum, Free and Total

LH and E are like $40 each if I recall. You give them a CC and pick a LabCorp, etc near you. They email you the order. You print it out and take it in. Pee & bleed. Results are emailed to you in a couple of days.
 
Why would the insurance company pay for your to have your levels testes for fun?

You must have misunderstood what insurance is for.
 
centy said:
Well, it ain't exactly cheap, but I think it's definitely worth it. If you ala carte everything, you can easily spend a grand. For the bare bones test it's about $230.

- Complete Blood Count w/ Differential
- Healthy Heart Cholesterol Profile
- Liver Function Profile
- Kidney Function Profile
- Comprehensive Metabolic Panel
- Serum Iron
- Complete Urinalysis Profile
- Serum Electrolytes
I add in
Testosterone, Serum, Free and Total

LH and E are like $40 each if I recall. You give them a CC and pick a LabCorp, etc near you. They email you the order. You print it out and take it in. Pee & bleed. Results are emailed to you in a couple of days.

So that total cost is $360? Just checking cause I'm probably gonna get some test done soon. It's definately more expensive in Canada.
 
Deluxe Checkup $119.99
- Complete Blood Count w/ Differential
- Healthy Heart Cholesterol Profile
- Liver Function Profile
- Kidney Function Profile
- Comprehensive Metabolic Panel
- Serum Iron
- Complete Urinalysis Profile
- Serum Electrolytes

Testosterone (Free), Serum With Total $112.99

Testosterone, Free and Weakly Bound $82.99

Testosterone, Total, Serum $47.99

Prostate-Specific Antigen (PSA) $49.00

Thyroxine (T4) Free, Direct $89.99

Tri-iodothyronine (T3) Total $47.99

Prolactin $45.00

Luteinizing Hormone (LH) $47.99

Estradiol $47.99

Cortisol, Serum $97.99

Dehydroepiandrosterone (DHEA) Sulfate $94.99

Dihydrotestosterone (DHT) $159.99


There's hundreds more tests you can order. (Not sure how it works in Canada. I'd call and ask.)
 
Here's a new one that they just added:

Anabolic Steroid Panel

Description: Our anabolic steroid test panel can be used as an initial screen to determine if anti-aging treatment with bioidentical hormone replacement is needed and to monitor safety during ongoing treatment.

The panel includes the following tests:

- Dihydrotestosterone (DHT)
- Complete Blood Count (CBC)
- Comprehensive Metabolic Panel
- Prostate-Specific Antigen (PSA)
- Estradiol
- Testosterone (Free), Serum With Total
- Lipid Profile
- Insulin Growth Factor (IGF-1)
- Sex Hormone Binding Globulin, Serum

Significant deviations from the normal range may require further evaluation by your physician.

Includes: Dihydrotestosterone (DHT), serum; Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count; red cell count; white blood cell count; A:G ratio; albumin, serum; alkaline phosphatase, serum; ALT (SGPT); AST (SGOT); bilirubin, total; BUN; BUN:creatinine ratio; calcium, serum; carbon dioxide, total; chloride, serum; creatinine, serum; globulin, total; glucose, serum; potassium, serum; protein, total, serum; sodium, serum; Creatine Kinase (CK), Total, serum; Prostate-Specific Antigen (PSA), Serum;

Patient Instructions: Patient should fast for 12 hours preceding collection of specimen. For accurate test results, no ejaculation during the 24 hours preceding the test.

Categories: Hormones and Metabolism, Drug Screening

Price: $499.99
 
MorganKane said:
Why would the insurance company pay for your to have your levels testes for fun?

You must have misunderstood what insurance is for.

You getting wise? Its part of my yearly physical.
 
the_alcatraz said:
So that total cost is $360? Just checking cause I'm probably gonna get some test done soon. It's definately more expensive in Canada.


You must live in an igloo bro, that shit doesn't cost me a cent.
 
enacer420nj said:
You getting wise? Its part of my yearly physical.

Not at all.

if you think that insurance will pay for any test you want as your yearly physical or any other physical you really dont understand how insurance works.

Unfortunately, you dont get to decide on what you need for your physical - when it comes to insurance.
 
if you went to the dr complaining of issues that would require a blood test then the isn co would prob pay. like if you were complaining that you were tired all the time ect ect. asking if you could get a blood test just to check out how ur pct went or a version of that........well good luck on that one. especially hmo plans, dr get bonuses at yr end from hmo plans for limiting use. i have heard that but i doubt if its that exteme. ive been in the insurance business for 23 years and heve heard some pretty extreme shit as far as what hmo plans will do to denie coverage. ppo plans are slightly better. if you have the option to have a 'fee for service' plan and you can afford it, take it. these plans pay for almost everything and are all about preventive care.
 
MorganKane said:
Not at all.

if you think that insurance will pay for any test you want as your yearly physical or any other physical you really dont understand how insurance works.

Unfortunately, you dont get to decide on what you need for your physical - when it comes to insurance.

I guess that makes sense...just figured its not coming out of his pocket, they said insurance would deny it....probably knew something was fishy when I asked for prostate,liver and test....if i checked off the box on the slip im guessing i would just have to pay for it....I cant eat after 12 tonight, debating on having my 6 white 2 whole egg meal an hour before bed because im having cholesterol taken...either way im banging 200 cyp 200 eq when I get home from the lab and stuffing my face lol
 
enacer420nj said:
I called my docs office to get a script to have blood taken and told them what I wanted. They wouldnt include prostate and test levels due to my age, (27) said insurance wouldnt pay. I wanted to get levels checked before I started my next cycle. They are doing

Basic Metabolic Panel
Hepatic Function Panel
Lipid Panel
CBC w Diff W Plt

Im kinda pissed I wanted to know what my levels are....

You need to give them a medical reason, Sparky. Should have told them you felt run down, no energy, no sex drive, tiny little willy as limp as a steamed bean sprout in the morning, etc. Then tell them you want your test levels checked.
 
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