Blah1109 wrote:How long did it take you from when you first decided to speak to the doctor about getting the procedure and how long did it take the insurance to approve and for the surgery to actually happen after it got approved
I decided I had finally had enough frustration about early October 2019.
I called my Urologist who does my TRT and ED meds. I told him I thought I was ready to go implant. He told me he thought it was time, and gave me the name of Doctor on staff who did IPP surgeries. I asked if he was any good. My regular urologist said he ought to be, he does quite a few (it’s a respected teaching hospital) and my regular urologist had taught him how.
I really like my regular urologist, he shoots straight, is in his mid-70s, and doesn’t do surgery anymore.
So I booked a consult, it took a week. Maybe 10 days to see him. We discussed options, I asked lots of questions, and he gave me his email to ask him anything else I thought of.
I was looking at a Feb 2020 surgery date.
In the meantime, my wife had a nasty bout with pneumonia in Nov 2019 which, in retrospect, really looked a lot like Covid. We hit our catastrophic cap for year. Anything I had done for rest of year would be paid 100% by insurance.
So I email doctor to discuss moving surgery earlier. Can’t do, schedule conflict. I ask about his sizing philosophy, told him I expected it to be aggressive but not stupid. It irritated him a bit and I got a lecture about the meaning of term aggressive in terms of surgery.
So by the end of November, I’m willing to look at other options. This is when I get a bit of luck. I called a Urologist/Implant Surgeon in a nearby big city who happens to be relatively high volume. Can’t get consult until February. They call me back at end of day, had cancellation for Dec 14. I’m getting hernia done on 17th. So I go see this guy. I liked him, he was honest with me, I told him about hernia repair on 17th Dec, ask if he can implant me before end of year. He schedules me for Dec 31st.
Happy New Year 2020 and I’m bionic.
No complaints or regrets, hospital and doctors billed $53K, the insurance paid and they accepted just under $18K. I got a bill for $2.84 for something. And they all lived happily ever after.
So in all it took less than 3 months and that included evaluating two different doctors.
The most important thing from an insurance perspective is the CPT code. I asked both what CPT code they would bill with (both were same) then called insurance carrier to make sure they would pay. Not only did they say they would pay, they told me that specific code didn’t even need a preauthorization before surgery .
Age 68. Physically fit educated red neck in Texas. Very married. 23 cm (18+5) of LGX installed by Dr. Bryan Kansas 12/31/2019. I fought the ED and my wife & I won. I’m either full of shit or sound advice. You decide which.