warrenw123 wrote:Today I got a call from the urologist telling me my insurance will not cover the replacement of my broken implant. This means I have to cover the costs myself. I imagine it is around $20k to $30k from what I hear.
I believe I have the AMS 700 with the dial cylinders. It was obviously smaller than what I was naturally before getting ED. So since I am paying for it is there another make/model that would be at last an inch longer? I was able to use the one I have but in certain ways it was just smaller. You all know how your ego can me! But at the same time I feel something is better than nothing...
Thanks,
Warren
I agree with my brothers who have replied already. It's not uncommon for insurance companies to deny coverage initially because most people walk away and leave it at that. Appeal with documentation. As another member wrote, the doctor must attribute your situation to a physical issue. Make sure your appeal is not verbal but documented. Insist that the insurance company reduce to writing under what clause they are denying your request for coverage. Also, make sure you know to whom your appeal should be directed. Don't accept rejections from "the Coverage Team" or "the Committee" or "the Benefits Department." Get a name.
Also, if the implant itself is "broken" as you wrote, there should be no cost for replacing the implant itself, only the surgery. (By the by, your surgery can be much cheaper depending on where you have the surgery. For example surgery centers are less expensive than hospitals.)
Good luck!
KMeister