Andlos: Institute of Preventative Care

Blue Cross Blue Shield of Florida:
http://bcbsfl.com/
You must have IGF-1 levels below the statistical norm for your age group (see Table 2)

Medicare:
http://www.medicare.gov/
Only covers Norditropin Pens, must have IGF-1 levels below the statistical norm for your age group. In Florida, your best supplemental (for a person 65+ with no health complications) for this will have a total annual cost (out-of-pocket plus premium) of:
Local Pharmacy (CVS/Walgreens): $4,608 (First Health Part D)
Mail Order: $4,261 (Medco Medicare Prescription Plan)

Prescription Assistance:
http://www.nutropin.com/
For patients with limited income. You must apply to find out what your cost will be as it is based on your last tax return and varies depending on your taxable income.

CIGNA:
http://www.cigna.com/
Coverage requires that the etiology of Growth Hormone Deficiency (GHD) is a result of destructive hypothalamic or pituitary disease, radiation therapy, surgery or trauma OR is a result of documented GHD in childhood.
Additionally, a Growth Hormone Stimulation test (which requires hospitalization) to verify your pituitary gland has basically ceased to function needs to be conducted by an Endocrinologist.

Aetna:
http://www.aetna.com/
a. Destructive lesions of the pituitary OR
b. Adults who were growth hormone deficient as children OR
c. Adults who develop growth hormone deficiency in early adulthood OR
d. AIDS-related wasting -- Aetna considers GH supplementation to be medically necessary for HIV-infected persons with involuntary weight loss of greater than 10% of pre-illness baseline body weight or body mass index (BMI) less than 20 kg/m2, in the absence of a concurrent illness or medical condition other than HIV infection that would explain these findings, and who have failed to adequately respond or are intolerant to anabolic steroids (e.g., Megace, Oxandrin).

More to come soon...