158. Hormone Pellet Therapy Benefits, Billing Insurance and More: The Inside Scoop
Hormone Optimizing Warrior M.D.Show Notes
Ten hours of exercise a week, a clean gluten-free diet, and the scale went up ten pounds. That's what finally drove me to pellet therapy in 2018, and I haven't looked back since. But before I tell you that story, I need to deal with the question I know you're about to ask: can insurance cover this? Almost certainly not, and I want you to understand exactly why. I bill for it anyway, and I'll walk you through what that actually costs my practice, how long we wait to get paid, and what Medicare has done recently to make things even more difficult. If you've ever been annoyed at a bill for a pellet, this is the part nobody explains. In this episode you'll learn… Why hormone pellet therapy is almost never covered by insurance.
Why an in-network pellet provider is nearly impossible to find.
Why most practices add pellet therapy as a cash revenue stream.
What stops hospital employed physicians from offering pellet therapy.
What training, inventory, and sterile instruments cost a practice.
How insurance reimbursement compares with what a pellet actually costs.
What happens when a second pellet comes due before payment arrives.
Why pre-authorization still does not guarantee any payment.
Why Medicare stopped reimbursing pellet insertions over the past year.
Why practices offering only one hormone option shortchange their patients.
Why convenience drives most women toward choosing pellet therapy.
What weight gain despite constant exercise revealed to me about missing hormones.
How long optimized hormone levels were needed before my weight finally dropped.
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