Copied directly from my insurance denial letter.
Criteria for coverage:
Tg level of 500+
OR
you must have a treated (such as taking a statin drug like atorvostatin) TG level of 135-499 AND meet one of the following:
1.) Are at least 45 years old and have cardiovascular (heart and blood vessels) disease or,
2.) are at least 50 years old and have diabetes (a condition effecting blood and sugar) AND have one of the following:
a.) are a man that is at least 55 years old or a woman that is at least 65 years old,
b.) smokes cigarettes or stopped smoking them in the past 3 months,
c.) are using a drug for high blood pressure or have high blood pressure (140 mmHg systolic or 90mmHg diastolic)
d.) have a lab test showing your HDL cholesterol level is 40 mg/dL or less for a male or 50 mg/dL or less for a female
e.) have a lab test showing your hsCRP (high sensitivity C-reactive protein) level is greater than 3 mg/dL,
f.) have a creatinine clearance lab test of more than 30mL/min but less than 60 mL/min,
g.) have retinopathy (an eye condition) or,
h.) have micro- or macro-albuminuria (the presence of a type of protein in the urine)
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