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Medicare coverage

Posted: Fri Sep 08, 2023 8:54 pm
by Valkommen
I have had issues with Trimix and am considering an implant. Is it relatively easy to get Medicare to cover costs.

Re: Medicare coverage

Posted: Fri Sep 08, 2023 11:29 pm
by 1969CevyC10
I suspect you will need pre-approval. If you google Medicare Coverage and look under
sex aids or reproduction systems it should give you an answer. If nothing else call the
800 number for Medicare and ask someone. Good Luck

Re: Medicare coverage

Posted: Sat Sep 09, 2023 12:59 am
by easymoney
my medicare would not cover the shots .. had to pay myself ... I'm in fl there is a place here that is very reasonable for the shots .. don't know if they ship out of state or not .. called MenMD

Re: Medicare coverage

Posted: Wed Sep 20, 2023 6:33 am
by oldog12
Medicare covered mine. I had previously had a prostatectomy, so that may have been an influence. The surgeon's office did the pre-authorization. No hiccups.

Re: Medicare coverage

Posted: Wed Sep 20, 2023 8:29 am
by Old Guy
Medicare B covers the implant surgery. If you only have basic Medicare A, I don't think so.
Doctors' office billing staff are the ones to ask.

Re: Medicare coverage

Posted: Fri Sep 22, 2023 2:02 pm
by jwitten567
Hi
Medicare A will cover but if that's only coverage you have you will have $1600 deductible for the year. if you have other coverage, than implant is covered completely. That was my case. You should check with a surgeon's office, they can do all the authorization through for your specific insurance situation. - JW

Re: Medicare coverage

Posted: Fri Sep 22, 2023 2:03 pm
by jwitten567
they don't cover any injectables including edex/caverjet that you can get from big box pharmacies. they definitely don't cover trimix/bimix.