I'm switching to telmisartan from lisinopril (need advice)

Trying again with SesameCare in an hour.
$29 for video visit with Costco discount.
Success. $29 for Seasamecare + $50 for 90x Telmisartan 80mg and Tadalafil 5mg (used goodrx for discount but CVS was $2 cheaper on their own discount).
$79 for 180 days of meds.
Now I could repeat with goodrx because I have a current script. Basically same price.

But Seasamecare wouldn’t refer me for a coronary artery calcium scan. Oh well. Open to suggestions on how to get a CAC coronary artery score CT scan.
 
Success. $29 for Seasamecare + $50 for 90x Telmisartan 80mg and Tadalafil 5mg (used goodrx for discount but CVS was $2 cheaper on their own discount).
$79 for 180 days of meds.
Now I could repeat with goodrx because I have a current script. Basically same price.

But Seasamecare wouldn’t refer me for a coronary artery calcium scan. Oh well. Open to suggestions on how to get a CAC coronary artery score CT scan.

Go to Mdsave. They're like GoodRx for diagnostic procedures:


Go to "Cardiac Imaging" / Calcium Score

Find the facility you want to use.


Go to CallOnDoc:


Pick "CT Scan" $50 to get a prescrip.

Tell them your Dad had a heart attack in his 40s, your grandmother too...so you just want to stay on top of things.

You can get a CT Angiography if you want to go all the way. They'll use contrast dye and get a completely. accurate picture of not only calcified plaque, but the soft plaque buildup in all the critical vessels. It's about 2.5x the cost of a Calcium Score CT.

This scan replaces a lot of the older cardiac diagnostics, like stress tests, EKG, and Echocardiogram. It's so good my insurance covers it without a deductible IF you schedule it before they start using the battery of older, money making tests a lot of places still use by default.
 
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Go to Mdsave. They're like GoodRx for diagnostic procedures:

Go to CallOnDoc:

You can get a CT Angiography if you want to go all the way. …

Thanks for the recommendations on finding a CAC scan location - I found it was cheap and much closer to me using radiologyassist.com ($88 one hour away vs $195 three hours away from mdsave.com; though mdsave was cheaper for the CCTA scan at $480 vs $456, but still too far away).

This website has a helpful description of CAC compared with CCTA, and here’s an AI summary of that comparison:
“CAC (Coronary Artery Calcium) test measures calcified plaque in coronary arteries, providing a risk score for heart disease. It's quick and suited for asymptomatic patients with risk factors.

CCTA (Coronary CT Angiography) offers detailed images of coronary arteries, showing plaque, blockages, and blood flow. It's used for patients with chest pain or unclear test results.

Choose CAC for risk assessment in asymptomatic individuals or when considering statins. Opt for CCTA if experiencing symptoms, need detailed diagnosis, or have inconclusive results from other tests.

CAC is faster and focuses on risk, while CCTA provides more comprehensive information for diagnosis and treatment planning.”
 
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