Insurance approval, but didn't pay after surgery

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Alax2869
Posts: 53
Joined: Thu Dec 15, 2022 4:44 pm

Insurance approval, but didn't pay after surgery

Postby Alax2869 » Thu Feb 05, 2026 3:00 pm

Need some help from anyone that has experienced this.
I had a implant done over 2 years ago.
Doctors office submitted procedure to insurance for approval.
They got back approval letter so I was good to go.
Now, 2 years later I have a collection company calls me and said they have an account turned over to them for non payment of $47,000.
Insurance did not pay but 500.00 towards the procedure.
Waiting on call back now from Dr office to let them know what's going on.
I would have never had the surgery if I knew insurance wasn't going to pay, but how can they send approval letter, then not pay.?
Peyronie's and Ed for 2 years.
Implanted Nov 27 with Titan
20 + 3 RTE

edjohn
Posts: 221
Joined: Mon Aug 14, 2023 11:10 am

Re: Insurance approval, but didn't pay after surgery

Postby edjohn » Fri Feb 06, 2026 5:06 am

Lawyer time
Oct 7, 2025 - Coloplast Titan XL - Touch pump - 26cm - 0.5cm RTE with Jonathan Clavell. Still sorting out TRT; plan to try a "modified natty" approach without injections.

User avatar
rdnkbiker
Posts: 368
Joined: Thu Dec 22, 2016 5:49 am

Re: Insurance approval, but didn't pay after surgery

Postby rdnkbiker » Fri Feb 06, 2026 8:53 am

had the same thing happen to me but my bill was twice that much i tried everything but failed in my attempts just paid a little every month one day the bill disappeared not sure why not going to ask lol paid on it 6+ years actually got a revision was still paying then poof gone ...... they take whatever you can pay
HBP since my 20s Full ED i was 55 when i received my implant January 17th 2017 sever scare tissue through corpora cavernosa clear to the glands (no blood flow) complete revision new equipment july 10th 2023 AMS CX 21cm very happy

Old Guy
Posts: 3042
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Insurance approval, but didn't pay after surgery

Postby Old Guy » Fri Feb 06, 2026 9:09 am

Agree with edjohn, time for a lawyer. Wonder why they waited 2 years to try to collect? Hopefully you or the doctor's office has a copy of the approval letter. If so, it should be an easy case to win.
Nov. 8, 2019
6+ years, Coloplast Titan OTR
Married 38 years to my beautiful young bride
Always here to answer questions if you PM me

Alex258
Posts: 380
Joined: Thu Feb 02, 2023 8:17 pm

Re: Insurance approval, but didn't pay after surgery

Postby Alex258 » Sat Feb 07, 2026 4:03 pm

Alax2869 wrote:Need some help from anyone that has experienced this.
I had a implant done over 2 years ago.
Doctors office submitted procedure to insurance for approval.
They got back approval letter so I was good to go.
Now, 2 years later I have a collection company calls me and said they have an account turned over to them for non payment of $47,000.
Insurance did not pay but 500.00 towards the procedure.
Waiting on call back now from Dr office to let them know what's going on.
I would have never had the surgery if I knew insurance wasn't going to pay, but how can they send approval letter, then not pay.?


When looking at your posting I thought it was one of my old posts. See my name. Our story is very similar. I'm over 2 years in and to this day my surgeon hasn't been paid. They have been great in helping me have this claim paid. Several lawyers didn't want to touch this and today my case remains in the hands of the Dept of Labor. I had exhausted all appeals etc. I too had approval to go by BCBS.
$45,000 here. I remain hopeful and if this doesn't work out at the end f the day I know that I'll get an offer for a much reduced amount cash. Today I'm on medicare so a replacement will not be an issue. Best to you with yours.


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