Does Medicare cover bioidentical hormones?

Written by Bioidentical Hormone Replacement Therapy Specialist: Gabriella Sanchez - February 24, 2023

Does Medicare Cover Bioidentical Hormones?

Bioidentical hormones are man-made versions of hormones naturally found in the human body. These synthetic hormones are used in hormone replacement therapy (HRT) to treat symptoms related to menopause and other conditions caused by hormone imbalance. The main goal of bioidentical hormones is to bring a patient’s hormone levels back into balance, allowing them to live more comfortably and healthily.

The short answer is no, Medicare does not cover bioidentical hormones as they are considered an elective treatment. However, it may be possible to get coverage depending on your condition and your risk factors.

In order for a patient to qualify for coverage under Medicare, they must meet certain criteria:

  • Have been diagnosed with a medical condition that requires HRT
  • Be between the ages of 18-65
  • Have had at least two lab tests confirming their hormone deficiencies
  • Have no history of cancer in the last 5 years
  • Have no allergies or existing complications from taking synthetic hormone medications.

If you meet all of these criteria, then you may qualify for partial or full coverage from Medicare. It is important that you contact your local Medicare office to find out if you qualify for any coverage for bioidentical hormone therapy. Some states offer additional benefits for eligible patients who need this type of care, so be sure to check with your local office before making any decisions about HRT treatment plans.

If you decide that bioidentical hormones are right for you, we recommend looking into BHRT Pro Center as your provider for HRT services and treatments! Our team specializes in prescribing tailored treatments based on each individual's unique needs and health profiles; our aim is always to provide safe and effective BioTE® hormone replacement therapy (HRT) using only FDA approved products. We also leverage leading diagnostics like saliva testing and comprehensive blood panels that help us assess patients' imbalances quickly and accurately so they can start feeling better sooner! Contact us today learn more about how we can help restore balance in your life.

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