A formulary is a list of covered medications. Its strictly for informational purposes. With our Site of Care program, certain specialty drugs when covered under the medical benefit require additional clinical review under Anthem's clinical utilization management guidelines. Make sure when you get a quote for the monthly fee for low testosterone treatments, you know what else is included, and exactly what you are getting. Hormone replacement therapy (HRT) using formulas in subcutaneously implantable pellet form is an alternative to hormone therapy by injection or oral ingestion. Additionally, some state and federal public employees are covered for transition-related care through their group benefit plans. Depression can lead to suicide. With kids, youre more conservative, said Dr. A common concern among individuals who seek hormone replacement therapy is how theyre going to pay for it. Prior Authorization - Anthem Blue Cross Blue Shield: Health Insurance Choose your state below so that we can provide you with the most relevant information. If your healthcare provider is not in your insurance network, then you will pay per the plan rules. In short, the answer is, it depends. Hormone Replacement Therapy near Albany, NY | WebMD No health plan is created equal. In that case, offer him or her help in finding a trusted person to share their struggles with instead. Anthem is a registered trademark. Antihemophilic Factor/von Willebrand Factor Complex (Human) [Alphanate, Humate-P, Wilate]. You can take hormone medications as a pill, injection, or applied to the skin using a patch or gel. Laura Edwards-Leeper, a child clinical psychologist in Beaverton, Ore., who works with transgender adolescents, said they absolutely have to be treated differently than adults.CreditKristina Barker for The New York Times. We know that you will need a diagnosis of gender identity disorder or gender dysphoria. Medical Specialty Certain travel expenses incurred by the Member, up to a maximum $10,000 Anthem payment pertransgender surgery or series of surgeries , will be covered. The average age for women entering menopause is 51.