Cigna said "No"

[newbie443]

My insurance covers this but only after everything else fails. I had no luck with pills and injections. That may be why you were turned down. Could be you need documentation from a doc that pills and injections do not work. They may pay after that.

As far as paying out of pocket, that varies. The surgeon that did mine charges 24k. If you decide to pay out of pocket then you just need to contact the surgeon you want to do this and ask.

[Tsanchez12369]

Just be sure to try all the ED treatments and report back to the doc they are NIT working for you (unless of course you hit the jackpot and one works great for you). Then you can apply again.

[MK1965]

I am so sorry to hear about your denial by Cigna.
I am in the same process waiting to hear from Aetna.
It is discouraging but do not give up!

MK

[oldbeek]

I am a prostrate cancer survivor, I have serious ED now.
Just dead wood.
Tried pills, trying injections now.
I wanted an implant, I figured just fix the dam thing.

Cigna said "no", I appealed and they said I don't need it.
I guess they know better than I do.

So am I just screwed? I have no idea how much it would cost if I paid for out of pocket, and I am not leaving the country to get it done.

So if I paid for it out of pocket any ideas on the cost?

What insurance companies pay for implants?

I am only 57, I like sex. I should not be denied because Cigna is being an ass.

John

Sex was better with injections anyway for me. No orgasms so far with implant. Trimix gave my minor pyronies. You have to prove injections do not work for you before Cigna will approve IP. Give injections an honest try.

[Lost Sheep]

Mikestap and Alibaba have posts worth re-reading.

Many Doctors' offices know how to do the coding on their billing correctly (to the mind of the bean counters at the insurance companies). A billing code for a given procedure might trigger a denial, but the same procedure coded differently (perhaps broken up into discrete functions, or more likely, bundled with your prostate treatment) may pass. The Doctor's billing office may be of GREAT help. Extablish a relationship with womeone there by way of your doctor and try.

Alibaba's advice to speak to AMS is worth it's weigh in gold. or platinum or truffles. Whatever.

Restoration of a lost function IS A VERY VALID POINT OF INSURANCE COVERAGE!!!

Unless it is SPECIFICALLY disallowed in your policy (and remember the Prostate issues may invalidate the disallowance) NEVER GIVE UP!

Good luck

[Urz14me]

>>>Cigna said "no", I appealed and they said I don't need it.
I guess they know better than I do.



Bummer Cigna approved me however instead of doing it in my Doctors Surgery Center it had to be scheduled in a hospital. (which actually cost Cigna more money)

[Larry10625]

I am a prostrate cancer survivor, I have serious ED now.
Just dead wood.
Tried pills, trying injections now.
I wanted an implant, I figured just fix the dam thing.

Cigna said "no", I appealed and they said I don't need it.
I guess they know better than I do.

So am I just screwed? I have no idea how much it would cost if I paid for out of pocket, and I am not leaving the country to get it done.

So if I paid for it out of pocket any ideas on the cost?

What insurance companies pay for implants?

I am only 57, I like sex. I should not be denied because Cigna is being an ass.

John

Sex was better with injections anyway for me. No orgasms so far with implant. Trimix gave my minor pyronies. You have to prove injections do not work for you before Cigna will approve IP. Give injections an honest try.

Are you sure you don't just need to "continue" longer? I was pleasantly surprised that it takes me a lot more time now (at least 20 minutes and up to 55 minutes). I hope things get better for you... the orgasms are freakin AWESOME.

Larry

[oldbeek]

I am a prostrate cancer survivor, I have serious ED now.
Just dead wood.
Tried pills, trying injections now.
I wanted an implant, I figured just fix the dam thing.

Cigna said "no", I appealed and they said I don't need it.
I guess they know better than I do.

So am I just screwed? I have no idea how much it would cost if I paid for out of pocket, and I am not leaving the country to get it done.

So if I paid for it out of pocket any ideas on the cost?

What insurance companies pay for implants?

I am only 57, I like sex. I should not be denied because Cigna is being an ass.

John

Sex was better with injections anyway for me. No orgasms so far with implant. Trimix gave my minor pyronies. You have to prove injections do not work for you before Cigna will approve IP. Give injections an honest try.

Are you sure you don't just need to "continue" longer? I was pleasantly surprised that it takes me a lot more time now (at least 20 minutes and up to 55 minutes). I hope things get better for you... the orgasms are freakin AWESOME.

Larry

It does come eventually. We banged for 45 minutes last week and I got close, but didn't get there. My wife got a urinary tract infection from it So now I am banned from the happy place. Yesterday I finally get off using porn, vibrator, hot tub, a gallon of oil and my Fleshlight. 40 minutes. today my dick is sore but happy:D My wife says to come and see her when I get feeling back into that thing.

[Larry10625]

Sex was better with injections anyway for me. No orgasms so far with implant. Trimix gave my minor pyronies. You have to prove injections do not work for you before Cigna will approve IP. Give injections an honest try.

Are you sure you don't just need to "continue" longer? I was pleasantly surprised that it takes me a lot more time now (at least 20 minutes and up to 55 minutes). I hope things get better for you... the orgasms are freakin AWESOME.

Larry

It does come eventually. We banged for 45 minutes last week and I got close, but didn't get there. My wife got a urinary tract infection from it So now I am banned from the happy place. Yesterday I finally get off using porn, vibrator, hot tub, a gallon of oil and my Fleshlight. 40 minutes. today my dick is sore but happy:D My wife says to come and see her when I get feeling back into that thing.

It does get better, honest.

Larry

[Bigjohnjr]

So now I have been diagnosed with peyronies, never had that before.

So did the caverjet or the trimix cause that?

I have no idea, If cigna would pay for the implant none of this would be an issue.

They approved the caverjet, which will cost them about 18K a year for the med.

The xiaflex to treat the peyronies with cost them more money, now well exceeding the cost of the implant.

I just don't get it. The implant is so much cheaper, one and done.