hopeful_future wrote:First update:
Got word from the doc's office that insurance started out by rejecting authorization for the procedure, but they said this happens pretty often, and they still have a decent chance of getting it approved. They suggested I move out the date by a week, which meant updating my request for time off with work and kicked off some additional anxiety.
So now, I'm at "Maybe I have surgery in August I guess?" instead of "I'm finally doing this" and that kind of sucks. Uncertainty is not my favorite thing, and is part of why I'm wanting to get an implant instead of gambling on whether 50mg of cialis is going to give me a boner and a headache or just a headache.
Guess I was damned lucky. After going through that with my UroLift procedure, where they denied it, the doctor appealed, I called, they denied it again, I called again, I filled out and submitted an IPSS survey, then they agreed -- rollercoaster ride! When my doctor was submitting my IPP to the insurance he kept saying "They won't approve, see what happened with the UroLift almost not happening?" I told him to put anything down that might be helpful to my case in the submission... He put down SEVERE PEYRONIE'S, LOW LIBIDO, and ERECTILE DYSFUNCTION. It was approved on the first go-round! I think the "SEVERE PEYRONIE'S" is what clinched it since my insurance has a provision for sexual health for REPAIR OF INJURIES OR DAMAGE.
Hopeful, all I can say is good luck with the second go-round with your insurance. If your issue includes PD, I might recommend having the doctor add that to the appeal if it's not already there.
62yo, married 41 yrs. Urolift (x4) 8/12/19. AMS 700CX 15cm (no RTE) penoscrotal 10/28/19, Frisco, TX. PD 1995/ED 2011. Cialis helped but hinged. (1995)L:6/G:5.5+, (2019)Pre-op L:5/G:4.5, (2/2020)L:6.0/G:5.0