Anthem bcbs of georgia sucks

The final frontier. Deciding when, if and how.



Asdefxx
Posts: 11
Joined: Mon Aug 19, 2024 12:17 pm

Re: Anthem bcbs of georgia sucks

Postby Asdefxx » Sun Mar 09, 2025 9:45 pm

LastHope wrote:For example, if your surgeon offers 2 options for inflatables:
1) Surgeon's clinic/office procedure (cash payment): $22,000
2) Hospital facility procedure (insurance billed): $91,000


Thanks! Is it not possible to opt for the clinic procedure on #1 but try to get that approved through the insurance company? Seems like that would be the safest option.

Still, that's a good tip about calling and calling again, I'll keep that in mind, thanks!

LastHope
Posts: 1200
Joined: Sun Feb 18, 2024 1:26 am

Re: Anthem bcbs of georgia sucks

Postby LastHope » Sun Mar 09, 2025 11:07 pm

Asdefxx wrote:
LastHope wrote:For example, if your surgeon offers 2 options for inflatables:
1) Surgeon's clinic/office procedure (cash payment): $22,000
2) Hospital facility procedure (insurance billed): $91,000


Thanks! Is it not possible to opt for the clinic procedure on #1 but try to get that approved through the insurance company? Seems like that would be the safest option.

Still, that's a good tip about calling and calling again, I'll keep that in mind, thanks!


It depends on the surgeon, mine said the office procedure is cash pay only for private insurance folks. Definitely check with your surgeon.

LastHope
Posts: 1200
Joined: Sun Feb 18, 2024 1:26 am

Re: Anthem bcbs of georgia sucks

Postby LastHope » Sun Mar 09, 2025 11:32 pm

Since I took the malleable route, I ended up paying only $15,000 cash.

pjt1958
Posts: 45
Joined: Tue Apr 16, 2024 2:28 pm

Re: Anthem bcbs of georgia sucks

Postby pjt1958 » Mon Mar 10, 2025 4:07 pm

Chrismc1981 wrote:Denied me surgery on 26th.filed a grievence and a appeal to try to get them to approve.have bad venous leak and type 2 diabetes.anyone know what i need to do?im freaking devasted as im deeply depressed and now this...any help would be greatly appreciated as i dont even want to keep goin on with life..fucking ed sucks the life out of you



any updates? got a distant friend in similar situation in texas.
65 with ED for >10 years. Failed pills, not happy with injections. Implanted 6/24/24 (AMS CX 21 cm) with Dr Darshan Patel at UCSD.

Chrismc1981
Posts: 25
Joined: Fri Dec 13, 2024 6:18 pm

Re: Anthem bcbs of georgia sucks

Postby Chrismc1981 » Mon Mar 10, 2025 4:49 pm

Jist swap insurance companies

LastHope
Posts: 1200
Joined: Sun Feb 18, 2024 1:26 am

Re: Anthem bcbs of georgia sucks

Postby LastHope » Mon Mar 10, 2025 10:56 pm

Swap insurance companies? Isn't it something offered at the workplace? I can only get Aetna or Kaiser at work.

Chrismc1981
Posts: 25
Joined: Fri Dec 13, 2024 6:18 pm

Re: Anthem bcbs of georgia sucks

Postby Chrismc1981 » Wed Mar 12, 2025 5:53 pm

Im having to swap everything but hopefully ill be implanted mid april....tired of the letdowns and shit to be honest

Bent Ben
Posts: 155
Joined: Sun Jul 02, 2023 4:21 am

Re: Anthem bcbs of georgia sucks

Postby Bent Ben » Fri Mar 14, 2025 4:36 am

I have BCBS out of GA and it was paid, I was aboyt $4500 out of pocket, which was wht my deductible.
Before surgery I used pills and injections for about 18 months and had documentation from my doctors that I had exhausted other means. Also, We documented my aggressive Peyronies and heart issues to bolster the medical need. Have you done the same? Make sure to push on the grounds of medical condition and be able to prove it.
One of the reasons I used Hakky, beyond reputation, was his office staff’s tenacity and acumen in working with the insurance company. Are you using him?
51yo, ED 5 years, 45-50° curve/PD. 22cm Titan, IP with no RTE by Dr Hakky on 9/12/2023.
My comments, suggestions, ideas or routines are for entertainment and satirical purposes only. Do not use any of my ideas, suggestions, routines or advice.

Chrismc1981
Posts: 25
Joined: Fri Dec 13, 2024 6:18 pm

Re: Anthem bcbs of georgia sucks

Postby Chrismc1981 » Sat Mar 15, 2025 12:19 pm

Yes did everything.bcbc just flat denied it
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Chrismc1981
Posts: 25
Joined: Fri Dec 13, 2024 6:18 pm

Re: Anthem bcbs of georgia sucks

Postby Chrismc1981 » Sat Mar 15, 2025 12:21 pm

Yes did everything.bcbc just flat denied it
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