We are now accepting major PPO commercial insurance plans (Aetna, Anthem Blue Cross, Blue Shield of California, Cigna, and United Healthcare) and Medicare. So far, two have passed into law, in Tennessee and Arkansas, though the latter has temporarily been blocked because of legal appeals. On the other side of the debate are clinicians who say the guidelines are calling for unnecessary barriers to urgently needed care. If your insurance comes through your employer, as your human resources department for information on hormone therapy coverage. Subcutaneous testosterone pellets as a treatment for menopausal symptoms and/or reduced libido are considered experimental/investigational and, therefore, non-covered because the safety and/or effectiveness of this service cannot be established by the available published peer-reviewed literature. Instead, bioidentical hormones are derived from plant estrogen, a more natural source, and are adjusted so they are molecularly identical to the hormones our bodies used to naturally produce. Because testosterone replacement therapy is sometimes considered a new therapy, many patients ask us this question, Does health insurance cover testosterone therapy for me? Shortages in rural health care workforces, low rates of insurance coverage, and long distances from health care facilities have made it challenging for many Americans outside urban areas to find high-quality, affordable health care. A doctor may prescribe hormone therapy to relieve these symptoms. Signs that you may be experiencing perimenopause include skipping periods and having lighter periods. For example, if the doctor requires you to go to a pharmacy to obtain a certain drug, Part B wont cover that and that could leave you in $100s of dollars in drug cost. Our three plan options have certain drugs that are not covered on their formularies. Its important to recognize the effects that stress can have on your life, to learn how to cope with stress, and to know when to get help. Others dont get their first period until theyre 15 or even 16. Lonapegsomatropin-tcgd: Skytrofa, J2940, J2941, Q0515, S9558, J3490, J3590, C9399, Cinryze, Haegarda, Berinert: [C1 Inhibitor (Human)], Ruconest [C1 Inhibitor (Recombinant)], As mentioned before, with Part D, this can help pay for the hormone replacement therapy drugs partially if not fully. Subcutaneous pellets composed of estradiol, estrogen, or estrogen in combination with testosterone are considered experimental/investigational and, therefore, non-covered because the safety and/or effectiveness of this service cannot be established by the available published peer-reviewed literature. Icatibant (Firazyr, Sajazir), Kalbitor (ecallantide), J0593, J0596, J0597, J0598, J1290, J1744, J0599, Bonsity, (teriparatide), Forteo (teriparatide),Tymlos (abaloparatide), Durolane, Euflexxa, Gel-One, Gel-Syn, GenVisc, Hyalgan, Hymovis, Monovisc, Orthovisc, Supartz/FX, Synojoynt, Synvisc/-One, Triluron, TriVisc, Visco-3, J7318, J7320, J7321, J7322, J7323, J7324, J7325, J7326, J7327, J7328, J7329, J7331, J7332, Durolane, Euflexxa, Gel-One, Gen-Syn, GenVisc, Hyalgan, Hymovis, Monovisc, Orthovisc, Supartz/FX, Sodium hyaluronate, J7317, J7318, J7320, J7321, J7322, J7323, J7324, J7325, J7326, J7327, J7328, J7329, Immune Globulin: Asceniv, Bivigam, Carimune NF, Cutaquig, Cuvitru, Flebogamma DIF. As always, it's very important to maintain a healthy lifestyle. Crinone 8% gel, Endometrin vaginal insert, progesterone, J0725, J1950, J3490, J8499, S0122, S0126, S0128, S0132, Makena, 17 alpha-hydroxyprogesterone caproate, Arcalyst (rilonacept), Ilaris (canakinumab,; Kineret (anakinra), Iluvien (fluocinolone acetonide intravitreal), Retisert (fluocinolone acetonide intravitreal), Yutiq (fluocinolone acetonide intravitreal), Ozurdex (dexamethasone intravitreal implant), J7314, 67027, J7311, 08H033Z, 08H133Z, 67028, J7313, 67028, J7312, Lumizyme (alglucosidase alfa), Nexviazyme (avalglucosidase alfa-ngpt), Imlygic (talimogene laherparepvec), other melanoma vaccines, Cosentyx (secukinumab), Siliq (brodalumab), Taltz (ixekizumab), Ilumya (tildrakizumab-asmn), Skyrizi (risankizumab-rzaa), Tremfya (guselkumab), Cinqair (reslizumba), Fasenra (benralizumab), Nucala (mepolizumab), Actemra (tocilizumab), Kevzara (sarilumab), 11981, 11983, 17999, 22999, 49999, J3490, J7999, Bynfezia, Sandostatin, Sandostatin LAR Depot, Praluent (alirocumab), Repatha (evolocumab), Flolan (epoprostenol), Remodulin (treprostinil), Tyvaso (treprostinil), Veletri (epoprostenol), Ventavis (iloprost), J1325, J3285, J7686, K0455, Q4074, S0155, S9347, Azedra (iobenguane I 131), Lutathera (lutetium Lu 177 dotatate), Pluvicto (lutetium Lu 177), Zevalin (ibritumomab tiuxetan), Cinvanti injection (aprepitant), Emend injection (aprepitant), Avastin, Alymsys, Mvasi, Vegzelma, Zirabev (bevacizumab, bevacizumab-maly, bevacizumab-awwb, bevacizumab-bvzr, bevacizumab-adcd), Lucentis (ranibizumab), Byooviz (ranibizumab-nuna), Cimerli (ranibizumab-cqrn), Eylea (aflibercept), Macugen (pegaptanib), Beovu (brolucizumab-dbll), Vabysmo (faricimab-svoa), Q5118, J2503, 67028, C9257, J9035, Q5107, J2778, J0178, J0179, J3590, Q5124, C9097, Q5126, FEIBA [Anti-inhibitor Coagulant Complex (Human)], Coagadex [Factor X (Human)], Novoseven RT, SevenFact [Factor VIIa (Recombinant)], Corifact [Factor XIII Concentrate (Human)], Tretten [Factor XIII A-Subunit (Recombinant)], RiaSTAP, Fibryga: [Fibrinogen Concentrate (Human)], J7198, J7189, J7175, J7180 Can Having Tubes Tied Cause Early Menopause, Medicare Part D, or the prescription drug plan, Can Having Your Tubes Tied Cause Hormonal Imbalance, Bioidentical Hormone Replacement Therapy Colorado Springs, Government Subsidized Plans like Medicare/Medicaid, An Individual Plan purchased via State Insurance Exchanges. Given these risks, as well as the increasing number of adolescents seeking these treatments, some clinicians say that teens need more psychological assessment than adults do. In short, the answer is, it depends. Patients and their families should be counseled about these risks, the standards say, and if preserving fertility is a priority, drugs should be delayed until a more advanced stage of puberty. For example, Cigna and Regence insurers offer the coverage of lab evaluation and clinic-based medical services but do not compensate expenses on injections and other oral medication prescribed. All rights reserved. Transgender Surgery Travel Expense. Gammagard, Gammagard S/D, Gammaked, Gammaplex, Gamunex-C, Hizentra, Hyqvia, Octagam, Panzyga, Privigen, Xembify, 11981, 11983, G0516, G0517, G0518, J0570, Menopur (menotropins), 20% coinsurance, after $1,000 deductible, therapist charges $150/session After you spend $1,000 in medical costs this year, your plan will reimburse you $120 of your therapy fee each time you submit a claim your effective therapy cost is $24/session. Transgender teens have a high risk of attempting suicide, according to the Centers for Disease Control and Prevention. Select a State Policies, Guidelines & Manuals We're committed to supporting you in providing quality care and services to the members in our network. It doesnt cover hormone therapy medications at all, even those for menopause. And medicine has this idea that they usually want to give you HRT, hormone replacement therapy. The establishment medical world didnt even understand it they were still treating it as a mental health concern just 20 years ago, said Dr. Joshua Safer, an endocrinologist and executive director of the Center for Transgender Medicine and Surgery at Mt. 2157 Main St Fl 1, Buffalo, NY 14214 2.76 miles. That focus on psychology set a lasting precedent, experts said. The Centers for Medicare and Medicaid Services is a major driver of this initiative and has developed a 5-Star Quality Ratings program for its Medicare Advantage and Part D programs. For example, each second visit to the doctor will cost twice as little as the first appointment. Request for use of outpatient infusion or injectable therapy service in the hospital outpatient department or hospital outpatient clinic will be reviewed for medical necessity. It does not apply to self-funded plans where Anthem Blue Cross is the Administrative Services Organization. Scientific evidence of safety and efficacy has not been proven. Factor IX Complex (Human) [(Factors II, IX, X)] [Profilnine SD]. The Anthem Blue Cross Frequently Ask Questions about the new coverage is far more in depth, explaining how they will handle the coverage. While it depends on your specific plan, it is unlikely that Blue Cross Blue Shield will cover couples counseling. Douglas Knutson, a psychologist who studies health and resiliency among LGBTQ populations at Southern Illinois University, said rural trans populations often have high rates of anxiety, depression and suicidality. Im going to give you some information this morning, this is interesting. Antihemophilic Factor (Recombinant [Porcine Sequence]) [Obizur]. Medical Specialty Im a good parent, she said. Its basic philosophy: Minors should be able to live out their gender identities freely, without clinicians or parents imposing unnecessary delays. If your doctor prescribes a drug thats not on the formulary, you can request a substitute. Your policy may cover traditional hormone therapy but not bioidentical hormones. But your child might not want to talk. Factors such as the type of therapy and the type of insurance plan can affect whether the treatment you seek is covered. And if taken in the early phase of puberty, blockers and hormones lead to fertility loss. Though we cannot guarantee that your insurance will cover the cost of your testosterone replacement therapy, we can at least help you get the process started with a free consultation or with a simple call to your insurance carrier. Kanjinti (trastuzumab-anns), Ogivri (trastuzumab-dkst), . Experts in transgender health are divided on these adolescent recommendations, reflecting a fraught debate over how to weigh conflicting risks for young people, who typically cant give full legal consent until they are 18 and who may be in emotional distress or more vulnerable to peer influence than adults are. Another import consideration when evaluating the costs of your low testosterone treatment, is that you must take into account exactly what is included in a price that you may have been quoted for testosterone replacement. Lupron Depot (leuprolide acetate), Depending on the insurance company, these conditions can include the following: Other conditions, like having had a prostatectomy, may also preclude you from needing tests to prove low testosterone. This often raises the question of whether hormone replacement therapy is covered by insurance. Some of the drug regimens bring long-term risks, such as irreversible fertility loss. Keep the lines of communication open. The Crisis Text Line: Text TALK to 741741 3. For more information, see the topic Stress Management. Call a suicide prevention lifeline. You can start by speaking with your childs pediatrician or a mental health professional. Contact us: contact@healthyhormonesclub.com, HRT Day : Starting Transgender Hormone Replacement Therapy, WellPoint sued an ENTIRE STATE to increase profits, Orgovyx: New FDA Approved Hormone Therapy | 2020: The Year In Review | Mark Scholz, MD, What Is The Best Over The Counter Hormone Replacement, How Long Does It Take For Testosterone Gel To Work, Where Can I Buy Estrogen Over The Counter, What Supplements To Take To Lower Estrogen. We know that you will need a diagnosis of gender identity disorder or gender dysphoria. If you need coverage for HRT, youll need a Medicare Part D Prescription Drug Plan. Antihemophilic Factor (Human) [Hemofil-M, Koate/Koate-DVI]. The incorporation of transgender health reassignment benefits applies to all individual, family, small group and large group plans. . Some clinicians worry that public disagreement over the best way to care for transgender adolescents will add fuel to this simmering political movement. Another avenue is a Medicare Advantage Prescription Drug. The star rating program was developed as a result of the passage of the Patient protection and Affordable Care Act in March 2010. Notice shifts in sleeping and eating habits in your teen, as well as any issues he or she might be having at school, such as slipping grades. Many doctors and activists praised the 350-page document, which was updated for the first time in nearly a decade, for including transgender people in its drafting and for removing language requiring adults to have psychological assessments before getting access to hormone therapy. Original Medicare Part A and Part B will provide coverage for bioidentical hormone replacement. Precertification Drug List | Anthem Blue Cross.pdf. As awesome as the info may be, it is not intended to diagnose, cure, treat, or prevent any disease. This plan is provided by private insurance companies and can be customized to fit your specifics needs, and monthly premiums depend on the plans that are available. Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. Pellets are implanted in the physician's office and release their contents over a period of months. To find out your actual out-of-pocket expense for therapy, search your Summary and Benefits document for your plan . If you or your daughter are outside those age ranges and are concerned about that first period, it is worth a visit to her Pediatrician, Family Doctor or OBYGN. The quality rating system outlines quality rating metrics and corresponding bonus payments. Currently it is recommendedthat women approaching menopause discuss the risks and benefits of hormonereplacement therapy with their physician. Blue Cross Blue Shield is one of the largest health insurance companies in the U.S., providing coverage for one in three Americans including mental health, behavioral health, and therapy services. Many well-studied Food and DrugAdministration approved options and routes of administration areavailable to help alleviate symptoms of menopause while minimizing risks. It can weaken your immune system, so that you have a harder time fighting off disease. Q5114, Q5112, Q5116, Adalimumab agents (Humira, Abrilada, Amjevita, Cyltezo, Hadlima, Hulio, Hyrimoz, Yusimry), Cetrotide (cetrorelix), Ganirelix, You can also perform a search by entering any of the information from the table into the Search box. One of our experienced insurance agents will be able to help you find the plan best suited for your needs. Also, most insurance carriers dont cover testosterone when prescribed for women. 3 0 obj If you are considering using these new health insurance benefits to transition, contact your health plan first and see exactly how they are going to handle the benefits. Expect similar issues with the other insurance carriers. Usually, your health insurance does cover testosterone therapy if your medical care provider can show a need. Read Also: Does Nugenix Have An Estrogen Blocker. So what is the identified risk of utilizing these medications in the elderly population and what data is it based on? Common factors that affect when a girl begins her period are weight changes, environmental factors that stimulate the hormones, or adrenal gland problems. These risks depend on the type of hormone therapy, the dose . Recommended Reading: Unisom And Melatonin, Insurance coverage will vary based on your deductible, Scientific evidence of safety and efficacy has not been proven.Re: HRT or TRT with Blue Cross Blue Shield Everyone of you has said many true things here, Clomid, non biodegradable drug delivery Corporate Medical PolicyAn Independent Licensee of the Blue Cross and Blue Shield Association Testosterone Testing AHS G2013 Notification The Endocrine Society-Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons Testosterone levels monitoring is suggested atProprietary Information of Blue Cross and Blue Shield of Alabama Medical Policy #444 Effective for dates of service prior to December 29, In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, which outlines these special programs.Implantable Hormone Replacement PelletsSubcutaneous testosterone pellets as a treatment for menopausal symptoms and/or reduced libido or any other indications not listed above are considered experimental/investigational and therefore non-covered, All benefits are subject to the definitions, the Testosterone in Older Men with Mobility Limitations trial, and I was told by last Doc that alot of the times it depends on how the Doctors office gives the procedure code meaning it has to be a code that BCBS accepts in order for us to be qualified for coverage.Yes, Its only a matter of time before all follow suit, medications, Inc, co-pay, and anastrozole) Diagnosis of Erectile Dysfunction. Many doctors and activists praised the 350-page document, which was updated for the first time in nearly a decade, for including transgender people in its drafting and for removing language . For instance, your hormone levels may not be technically low enough to demonstrate a need to your health insurance company, but you may still be experiencing symptoms. Choose your state below so that we can provide you with the most relevant information. These changes could indicate menopause, but they could also be caused by abnormalities in your cervix or uterus. If youre worried about someone in your life and dont know how to help, these resources can offer guidance:1. Mental health conditions Blue Cross Blue Shield covers may include: Note that therapists are required to assign you a diagnosis for the above conditions, as well as share the diagnosis with your health insurer, if you are using insurance benefits to pay for therapy. Their plans allow patients to reduce final treatment costs only partially. An Independent Licensee of the Blue Cross and Blue Shield Association Gender Affirmation Surgery and Hormone Therapy File Name: gender_affirmation_surgery_and_hormone_therapy 7/2011 4/2022 Origination: Last Review: Description of Procedure or Service Gender Dysphoria (GD) is the formal diagnosis used by professionals to describe persons who . 1 0 obj Contact our physician here to get a free consultation about insurance for testosterone replacement treatment. For more information on Medicare and transition-related care, please see the National Center for Transgender Equalitys resource: Know Your Rights: Medicare. Even men are helped when they use bioidentical hormone pellets. Now let me just explain here that as you get older, estrogen comes down, progesterone comes down, normal. The communication you and your doctor can have with the insurance company, the fewer hassles you will encounter. This plan covers prescription drugs, including those for hormone therapy. Here are examples you may see on your Summary of Benefits under the In-network Outpatient Mental Health category and what they mean: Blue Cross Blue Shield does not cover bioidentical hormone therapy or bioidentical hormone pellets, and its far from being the only health insurer that wont cover bioidentical hormone therapy. Okay, guess what were talking about, hormones today. , Rylaze (asparaginase erwinia chrysanthemi (recombinant)-rywn), Avonex (interferon beta-1a), Plegridy (peginterferon beta-1a), Rebif (interferon beta-1a), Betaseron (interferon beta-1b), Extavia (interferon beta-1b), Copaxone (glatiramer acetate), Glatopa (glatiramer acetate), C9399, J1595, J1826, J1830, J3490, Q3027, Q3028, S9559, Avastin, Alymsys, Mvasi, Vegzelma, Zirabev, Botox (OnabotulinumtoxinA), Xeomin (IncobotulinumtoxinA), Dysport (AbobotulinumtoxinA), Myobloc (RimabotulinumtoxinB). Please Select Your State The resources on this page are specific to your state. She works in Leadville, CO and 3 other locations and specializes in Family Medicine. 4 0 obj Hormone Replacement Therapy Cost The incorporation of transgender health reassignment benefits applies to all individual, family, small group and large group plans. Although some people who detransition continue living with a more fluid gender identity, others are upset about living with the irreversible changes caused by hormones or surgeries. A: Gender transition means the process of changing ones outward appearance, including physical sex characteristics, to accord with his or her actual gender identity. Menopause begins after a woman has her last menstrual cycle. Yoga, meditation and other relaxation techniques can relieve stress, which can bring clarity and counter menopausal mood swings. 30years ago, physicians were trained to recommend hormone replacement therapy formost menopausal women. Sometimes the term "BHRT" is used when specifically talking about bioidentical hormones. Increasingly, she said, I think theyd be surprised.. Sinai. Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. If you are transgender, you may be under a lot of extra stress because of discrimination in the community. Medicare Part C or Medicare Advantage is a plan that replaces Original Medicare Part A and B, and usually adds benefits like prescription drug insurance coverage. The National Suicide Prevention Lifeline: Dr. Cassie Brady, a pediatric endocrinologist at Vanderbilt University Medical Center. Estrogen therapies are numerous, and include those indigenous to the human ovary, for example, estradiol and estriol. Fargo, N.D., 58121. No. A doctor may prescribe hormone therapy to relieve these symptoms. Lock up any potentially lethal objects. Subcutaneous testosterone pellets may be considered medically necessary when there is documented failure or contraindication to other topical, oral, and injectable HRT andONEof the following conditions: Subcutaneous testosterone pellets not meeting the criteria as indicated in this policy are considered experimental/investigational. Sinai, who contributed to the guidelines chapter on hormone therapy. Contact us: contact@healthyhormonesclub.com, Florida Blue Member Shares her Mayo Clinic Knee Replacement Story, HRT Day : Starting Transgender Hormone Replacement Therapy, What Is The Best Over The Counter Hormone Replacement, How Long Does It Take For Testosterone Gel To Work, Where Can I Buy Estrogen Over The Counter, What Supplements To Take To Lower Estrogen, Does Blue Cross Blue Shield Cover Testosterone Therapy, What Causes Breakthrough Bleeding When On Bioidentical Hormones, Does Melatonin Cancel Out Birth Control Implant. Around the late 2000s, clinicians in the United States introduced the gender affirming approach, which has since been endorsed by several major medical groups. Doctors prescribe Hormone Replacement Therapy to treat hormone imbalances, such as menopause and thyroid. Scientific evidence of safety and efficacy has not been proven. Dr. Ehrensaft is one of the key early proponents of the gender-affirming model and helped write a new chapter on prepubescent children in the draft guidelines. Additionally, risksrelated to uterine cancer, breast cancer and blood clots have beendefined. These habits can lead to serious health problems. Dr. Ehrensaft and others are now working on large, long-term studies of patients in the United States. The new standards state that clinicians should facilitate an open exploration of gender with adolescents and their families, without pushing them in one direction or another. Stress is a fact of life. This medical option can help treat hormone imbalances like menopause and thyroid. Your health insurance company may have already approved you for testosterone replacement therapy if you have certain medical conditions or diagnoses from a physician. Lock up any potentially lethal objects. Depression can lead to suicide. The Dutch model argued that these puberty blockers, which are reversible, would buy adolescents time to further explore their gender before starting hormones with more lasting consequences. Announcer: Youve reached the end of another Doctor Is In Podcast with your hosts Dr. Martin Jr. and Sr. Be sure to catch our next episode, and thanks for listening. Ontruzant (trastuzumab-dttb), Trazimera (trastuzumab-qyyp), If you will require the second treatment course, your costs for injections will be covered as well. Notice shifts in sleeping and eating habits in your teen, as well as any issues he or she might be having, If you notice something unusual, start a conversation. Pegfilgrastim agents (Neulasta, Fulphila, Fylnetra, Nyvepria, Stimufend, Udenyca, Ziextenzo). Even before that last cycle, menopause changes the hormone balance in a womans body. And preliminary studies have suggested that adolescents who receive drug treatments to affirm their gender identity have improved mental health and well-being. Recommended Reading: Does Nugenix Have An Estrogen Blocker. Some Medicaid programs, a type of state and federally funded program for health insurance for low-income people, provide for transition-related care. Some girls have their first period as early as 10 or 11. % But, he added, I guess time and data will tell., Doctors Debate Whether Trans Teens Need Therapy Before Hormones, https://www.nytimes.com/2022/01/13/health/transgender-teens-hormones.html. Federal Employee Program members (FEP) should check with their Retail Pharmacy Program to determine if prior approval is required by calling the Retail Pharmacy Program at 1-800-624-5060 (TTY: 1-800-624-5077). We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. Children who are actively trying to harm themselvesshould be taken to the closest emergency room. People who are under long-term stress are also more likely to smoke tobacco, drink alcohol heavily, and use other drugs. Factor IX (Human) [Alphanine SD, Mononine. Of course, the amount that your insurance covers varies from provider to provider, and it also varies based on your specific health plan and other variables, like your deductible. If your periods are becoming heavier, more frequent, prolonged, or with spotting between periods, you should mention this to your doctor. You can see the list of whats not covered and available alternative options for Standard Option and Basic Option. Some services are subject to prior authorization in order for coverage to be provided. Most of us have periods of stress at various times in our lives. Because this is a California state law that pertains to plans managed by the California Department of Managed Health Care and the California Department of Insurance, all health insurance plans will need to cover the transgender benefits. Hormone therapy also treats some of the long-term effects of menopause like bone loss. Before discussing any medical treatment, they say, adolescents must get a comprehensive assessment led by mental health providers, and must have consistently questioned their gender identity for several years.. Many Anthem Blue Cross behavioral health services plans require the client to pay a copayment that may be between $15-30 each session. An international group of experts focused on transgender health last month released a draft of new guidelines, the gold standard of the field that informs what insurers will reimburse for care. Hormone therapy is most often used to treat common menopausal symptoms, including hot flashes and vaginal discomfort. J7190, J7182, J7185, J7192, J7204, J7209, J7210, J7211, J7205, J7207, J7188, J7191, J7183, J7186, J7187, J7179, J7208, J7170. The guidelines suggest minimum ages, lower than those in the previous version, for each treatment: 14 for starting hormone therapy, 15 for chest masculinization and at least 17 for more invasive genital operations. That doesnt mean theyre all eager to flee. Men have a little bit, maybe, of an andropause, but nah, we dont get to comment too much. Prices will vary with the carrier and specific Part D plan. Because this is a California state law that pertains to plans managed by the California Department of Managed Health Care and the California Department of Insurance, all health insurance plans will need to cover the transgender benefits. Our resources vary by state. A transgender person is an individual that meets any of the following criteria: a person who has, or has been diagnosed with, gender identity disorder or gender dysphoria, a person who has received health care services, including counseling, related to gender transition, a person who adopts the dress, appearance, or behavior of the opposite sex or. Anthem Blue Cross doesnt make the EOCs easily available, but as an agent I can download Blue Cross EOCs attached to an existing client. Teens with depression are at particularly high risk for suicide and suicide attempts. 2023 Blue Cross Blue Shield of North Dakota, Please wait while your form is being submitted, Directory Validation Instructions (No Surprises Act), Recredentialing & Credentialing Applications, Treatment of primary hypogonadism (congenital or acquired) due to testicular failure from conditions such as cryptorchidism, bilateral torsions, orchitis, vanishing testis syndrome, orchiectomy, Klinefelter syndrome, chemotherapy, or toxic damage from alcohol or heavy metals and who have documented testosterone deficiency as defined by.