Surgery Denied - Individual Health Insurance

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FaithfulCalebTN
Posts: 13
Joined: Tue Apr 07, 2015 11:36 am

Surgery Denied - Individual Health Insurance

Postby FaithfulCalebTN » Thu Aug 20, 2020 2:00 pm

Hello all!

So twice now I've been brought down to the wire only to be denied. Aetna said it was an exclusion, and Blue Cross doesn't cover any ED items. I pay 825 a month for coverage for just me, its through the Marketplace. Does anyone have a successful experience with their individual health insurance plan with a penile implant surgery?
ischemic priapism in 2004. 9/26/2021 AMS CXR MS PUMP 9.5mm x 16cm (100ml res) Infection 12/13/2021 ER insertion of Malleable RODS. MAR2023 AMS CXR 21CM implant success.
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flyingduck2019
Posts: 410
Joined: Tue Aug 06, 2019 3:15 pm
Location: Hemet, California

Re: Surgery Denied - Individual Health Insurance

Postby flyingduck2019 » Thu Aug 20, 2020 3:39 pm

Are you a veteran? If you are PM me. I just might be able to help you.
Phil, 75, married 54 years, ED started about 9 years ago. After viagra and cialis and pumping have found Trimix. Use 10 units injected with a partial erection. 31g-5/16" or 31g 1/2"needle. 10-1-30 :D :D :D Wife likes it too :D :D :D :D
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ViaSwiss
Posts: 624
Joined: Fri May 24, 2019 9:09 am

Re: Surgery Denied - Individual Health Insurance

Postby ViaSwiss » Mon Aug 24, 2020 1:27 pm

I had Ambetter (MHS) and mine also denied coverage. I decided to just drop my health insurance because of it. Hopefully 2021 when my work picks up health insurance it will give me approval. If not I will need to pay out of pocket. Also if you post this in the implant section you might get more responses.
Age 37. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky
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flyingduck2019
Posts: 410
Joined: Tue Aug 06, 2019 3:15 pm
Location: Hemet, California

Re: Surgery Denied - Individual Health Insurance

Postby flyingduck2019 » Mon Aug 24, 2020 2:05 pm

There are several threads in the implant section about veterans getting their implants through the VA. Some have as little as a $25.00 copay.

I have not gotten that far yet. I am on Trimix injections right now. I am fortunate that I only need 10 units to give me a 2-3 hour erection. I have a great compounding pharmacy in Los Angeles where I get 10ml for $33.00 plus a $10.00 overnight delivery charge.
Phil, 75, married 54 years, ED started about 9 years ago. After viagra and cialis and pumping have found Trimix. Use 10 units injected with a partial erection. 31g-5/16" or 31g 1/2"needle. 10-1-30 :D :D :D Wife likes it too :D :D :D :D
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