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Reference ranges and TRT treatment?
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<blockquote data-quote="DragonBits" data-source="post: 103182" data-attributes="member: 18023"><p>Great thread from Dr Justin Saya, MD about LabCorp changing their reference range for total testosterone measurement in adult males, (DECREASING) to 264 - 916 ng/dL (previously 348 - 1197 ng/dL).</p><p> </p><p><a href="https://www.excelmale.com/forum/showthread.php?11061&p=74903#post74903" target="_blank">https://www.excelmale.com/forum/showthread.php?11061&p=74903#post74903</a></p><p> </p><p>This is for those men that fall into the “normal range”? </p><p>Is insurance the main driver of doctor’s failure to treat symptoms of TRT, or is it a legal fear or is it ignorance?</p><p> </p><p>Those men that have low testosterone but aren’t below the 264 ng/dl level? If your TT is 300, but your free T is 5.5 pg/ml (6.6-18.1), most doctors seem to focus on the TT and not the FreeT.</p><p> </p><p>My primary doctor said that he very often gets turned down by insurance if he tries to treat someone with test testosterone that falls into the “normal” range.</p><p> </p><p>So is complying with insurance the big driver for most Doctor’s. It certainly seems so since most anti-ageing clinic don’t accept insurance and they have more liberal policies.</p><p> </p><p>If you inform your primary doctor that you don’t mind self paying is they are turned down when they send in your bill to insurance, does that make a difference?</p><p> </p><p>BTW, I have read that many doctors who are in insurance networks cannot accept self pay from a patient who does have insurance. But I do believe the doctor can file a claim then bill you if they get turned down. I am not to sure about this either.</p></blockquote><p></p>
[QUOTE="DragonBits, post: 103182, member: 18023"] Great thread from Dr Justin Saya, MD about LabCorp changing their reference range for total testosterone measurement in adult males, (DECREASING) to 264 - 916 ng/dL (previously 348 - 1197 ng/dL). [URL]https://www.excelmale.com/forum/showthread.php?11061&p=74903#post74903[/URL] This is for those men that fall into the “normal range”? Is insurance the main driver of doctor’s failure to treat symptoms of TRT, or is it a legal fear or is it ignorance? Those men that have low testosterone but aren’t below the 264 ng/dl level? If your TT is 300, but your free T is 5.5 pg/ml (6.6-18.1), most doctors seem to focus on the TT and not the FreeT. My primary doctor said that he very often gets turned down by insurance if he tries to treat someone with test testosterone that falls into the “normal” range. So is complying with insurance the big driver for most Doctor’s. It certainly seems so since most anti-ageing clinic don’t accept insurance and they have more liberal policies. If you inform your primary doctor that you don’t mind self paying is they are turned down when they send in your bill to insurance, does that make a difference? BTW, I have read that many doctors who are in insurance networks cannot accept self pay from a patient who does have insurance. But I do believe the doctor can file a claim then bill you if they get turned down. I am not to sure about this either. [/QUOTE]
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