My Insurance Says My Testosterone is Not Low

QUESTION: My testosterone is 245 ng/dL. My insurance won't cover testosterone replacement therapy (TRT) until I'm under 200. I'm 48 yo relatively healthy. I understand I should be in the 500-700 range for my age. Anybody else have insurance problems?



ANSWER: Some medical guidelines consider testosterone levels under 350 ng/dL to be low, but several groups disagree as show in the following table ( From
J. Clin. Med. 2019, 8(3), 410)





low-testosterone-blood-level-cut-off-from-guidelines-1024x393.jpg






If your insurance does not want to pay for your testosterone treatment, your doctor can fax a prescription to www.EmpowerPharmacy.com or another compounding pharmacy for a testosterone cream or injection. You can also use www.GoodRx.com. Their price is low and you don't have to go through your insurance. Also, if insurance does not want to pay for your week 8, 16 and 24 blood test follow up, you can use www.DiscountedLabs.com and buy the tests yourself.





Testosterone creams run about $40-50 per month. Injections about $30 per month (dose dependent). HCG about $70 for 11 weeks.



Blood Test Panels That are Usually Required













For more information, read:







What is a Normal Blood Level of Testosterone? What Do Guidelines Say?
 

hCG Mixing Calculator

HCG Mixing Protocol Calculator

TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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