What insurance should I go for?

The final frontier. Deciding when, if and how.
steveking
Posts: 23
Joined: Sun Aug 29, 2021 6:14 pm

What insurance should I go for?

Postby steveking » Sun Jun 05, 2022 9:48 pm

I want to get started on the implant surgery. Before I proceed, what is the best way to do it as economically as possible? I am not trying to cheap out but only to save some cost

I know in network patients get better fee than cash paying. Where should I start? I am self employeed so only basic marketplace insurance now.

SquadCaptain74
Posts: 149
Joined: Tue Mar 29, 2022 5:09 am
Location: Virginia

Re: What insurance should I go for?

Postby SquadCaptain74 » Mon Jun 06, 2022 7:16 am

I don't think your question is "cheap" at all. In fact, it was my insurance carrier commitment to covering the procedure that made the final choice much much easier. Surely, $20k+ for anyone is significant. All said, BCBS covered all but $300 (my surgical center co-pay).

Good luck.
Northern Virginia
Boston Scientific AMS700 (2020)

Old Guy
Posts: 2700
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: What insurance should I go for?

Postby Old Guy » Mon Jun 06, 2022 10:42 am

Marketplace insurers will more than likely have time limits before you can qualify for a surgery like an implant. Few to none will allow you to insure today and have surgery tomorrow. Also, most will want to see proof of what you've tried for your ED, like pills or injections. Other than that the most important thing is picking out a skilled surgeon. My doctors group had their own pre-authorizing staff that contacted my insurance to get me qualified and determine co-pay.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
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steveking
Posts: 23
Joined: Sun Aug 29, 2021 6:14 pm

Re: What insurance should I go for?

Postby steveking » Tue Jun 07, 2022 1:38 pm

Whats the best option then? Talk to one of the surgeons, follow guideline for trying reversible methods then go with implant? I heard prolonged injection can cause scar tissue that can affect implant later on.


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