Does Blue Cross Blue Shield Cover Bioidentical Hormone Therapy? [Expert Answer]

Does Blue Cross Blue Shield cover bioidentical hormone therapy? It depends on your policy, but Blue Cross Blue Shield does cover some forms of hormone replacement therapy, or HRT, to treat menopause symptoms.

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Find out what types of HRT it covers and how to get reimbursement for bioidentical hormones with these simple steps.

What is Bioidentical Hormone Therapy?

Bioidentical hormone therapy is a way to reduce symptoms related to menopause, perimenopause and andropause by using hormones that are exactly like those found in humans.

While bioidentical hormone replacement therapy (BHRT) can alleviate a wide range of symptoms, it’s not appropriate for every patient.

Before deciding whether BHRT is right for you, be sure to consult with your doctor or health care provider. He or she will need detailed information about your medical history and current state of wellness.

3 Pros of BHRT

The advantages of bioidentical hormone replacement therapy (BHRT) are numerous and clear. Here are three big ones:

  1. BHRT reduces menopause symptoms. BHRT doesn’t just bring hormone levels back to where they used to be—it replaces hormones lost during menopause, which helps mitigate symptoms of depression, anxiety, irritability, hot flashes and night sweats.
  2. BHRT may help prevent chronic conditions like heart disease and osteoporosis that can cause a lot of health issues later in life.
  3. BHRT boosts the immune system.
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Remember how our bodies make sex hormones from cholesterol? Well, that process also creates natural chemicals called oxytocin and progesterone that boost the immune system.

In one study, women who received progesterone injections were less likely to contract colds than those who received placebo shots.

Bottom line: there are many benefits to bioidentical hormone replacement therapy!

5 Side Effects

  1. Reduced libido and loss of sexual pleasure are usually caused by an increase in estrogen, specifically estradiol. Anti-estrogens can balance out some of these effects.
  2. Irritability, mood swings, anxiety, and depression are caused by fluctuating estrogen levels in women experiencing menopause and perimenopause — a common side effect of bioidentical hormone therapy (BHRT). Talk to your doctor if you experience symptoms like these while on BHRT; they might be able to adjust your dosage or recommend another option for managing your symptoms during menopause or perimenopause.
  3. Headaches seem to be caused by high levels of progesterone, which has been linked to migraine and cluster headaches. If you’re experiencing these types of headaches, talk to your doctor about whether the BHRT is causing them and whether a different form of treatment may be necessary.
  4. Changes in blood pressure and cholesterol levels have also been reported as potential side effects from taking BHRT. If this is something that concerns you, discuss it with your physician before starting the treatment.
  5. Weight gain is not typically associated with bioidentical hormone therapy unless there’s too much progesterone present in the mix that isn’t balanced with adequate amounts of other hormones. Talk to your doctor about adjusting doses if this seems to be happening.
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2 Types of BHRT + Which One Is Right For Me?

The two main types of bioidentical hormone replacement therapy are BHRT with compounded creams and BHRT with a compounding pharmacy.

With creams, patients apply estrogen and progesterone to their skin on a daily basis. Compounded pharmacies create custom formulations of both oral and topical hormones for patients—usually in capsule form, which makes for more reliable dosing.

In order to determine which kind of therapy is right for you, first you need to know that there are really only two kinds of bioidentical hormone replacement therapy.

The first is created by compounding pharmacies.

What is Blue Cross Blue Shield?

Blue Cross Blue Shield is a brand of health insurance offered by some, but not all, individual states in America.

While coverage options can vary from state to state, many Blue Cross Blue Shield plans are run through private companies rather than being provided directly by your state’s government.

Like other health insurance policies, these coverages offer financial protection against unforeseen medical expenses and give patients peace of mind when they seek treatment from licensed doctors and hospitals.

However, there are several things you should know about your BCBS plan if you’re thinking about buying it or if you already have one.

In addition to covering a variety of medical procedures for their policyholders (and their families), BCBS plans often provide access to additional benefits like prescription-drug coverage and wellness programs.

Does Blue Cross Blue Shield Cover Bioidentical Hormone Therapy?

Blue Cross Blue Shield may cover hormone therapy if it’s prescribed for a reason, but not as hormone replacement therapy (HRT). HRT, typically using estrogen and progesterone, is used to treat menopause symptoms in women.

It’s also sometimes used to treat women who have had hysterectomies to reduce hot flashes, night sweats and vaginal dryness. But it can lead to serious problems like heart disease and breast cancer.

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There are safer alternatives: bioidentical hormone therapy (BHT) uses plant-based hormones that are chemically identical to what our bodies produce naturally.

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