Cook,
Your insurance company won't pay for the tests because they are CHEAP!


They just don't like to admit the truth.
Back a few decades when I destroyed my back, my Blue Cross/Shield wouldn't spring for an MRI because they deemed it "experimental." Of course GOOD insurance companies were picking up the tab.
Mine has never balked at paying for Lp(a) testing but I cannot get a straight answer out of them for the VAP...they do pay for HDL1 and HDL2 so it's only a stones throw for the whole VAP. The game they have been playing goes like this:
"Oxford, do you pay for VAP?" You have to ask your doctor.
"Doctor, does Oxford pay for VAP?" Who knows ask the insurance company or the lab.
"Lab, does Oxford pay for VAP" We can't talk to you, only your doctor.
<I guess they all hope I'll give up!>
It's a coincidence that you mentioned it because it's my next project and I WILL get an answer. I even know the insurance code for it: 272.9.
You're right though about worrry about the Lp(a). In the words of the immortal Ennis del Mar: "What yah can't change yah gotta STAND"
Alas, I know too much about Lp(a) to not worry because it is a potent clot inducer too closely related to plasminogen ...probably my ancestors fought a lot with swords.

I do what I can with everything else though

and I may be the low LDL record holder on the board.
bunny,
Too bad I'm the kind of guy that takes "two drinks" to mean TWO LITERS...what else?

I could be looking at HDL's of 55 if I were pie eyed all day long...been there, done that! I guess 41 has to be good enough.