Medicare Pay for Implants?

The final frontier. Deciding when, if and how.
fastvette
Posts: 1
Joined: Fri Nov 23, 2012 5:18 pm

Medicare Pay for Implants?

Postby fastvette » Sun Dec 02, 2012 3:05 pm

I did a search but could not find the answer. I apologize if this is a dupe.
Will Medicare and AARP Supplenetal Plan F pay the cost of an implant?

antelope
Posts: 1497
Joined: Sun Nov 14, 2010 3:17 am
Location: Baton Rouge

Re: Medicare Pay for Implants?

Postby antelope » Sun Dec 02, 2012 4:24 pm

Yep, I'm pretty sure Medicare will pay for an implant. At least until we start rationing health care. Then only private pay patients will have implants. As far as supplements, I don't know one from another.

Greg
Born 1948, wed 1969. BPH & Type II Diabetes at age 35. TURP-2002; ED even before that--diabetes. Cardiac valve surgery: 2007 & 2019. Poor results with pills. Started trimix injections in Nov, 2010. Great results from the very beginning.

Daverx
Posts: 63
Joined: Mon Dec 19, 2011 6:34 pm

Re: Medicare Pay for Implants?

Postby Daverx » Sun Dec 02, 2012 10:28 pm

Merry Christmas
Medicare will indeed pay 80% and your other insurance will pay 20%. That will probably change in the future, so get busy time is awasting. I got mine in January of 2012, did not have to pay a penny.
75 yr old survivor of aggressive PC, original implant in 2012, revision Apr 19 2018. AMS 18cm 3cm RTE Happy man.

knotreel
Posts: 263
Joined: Fri Oct 01, 2010 8:59 am

Re: Medicare Pay for Implants?

Postby knotreel » Mon Dec 03, 2012 11:36 am

Ditto what Daverx said, but in my case my ED was made complete as a result of radical prostectomy and the fact that it was linked to my PCa ,and not just an elective surgery, appartently made it a certainty that medicare would cover it. I not saying that it won't cover it just on the basis of ED as a stand a lone situation but if you had treatment for PCa then that seems to help a lot. I second the thought to do it now, who knows how long the present Medicare rules will last.
age 74 married, Robotic RP Dec.2009. Implanted Jan 2011 with AMS 700LGX and AMS 800 AUS. (AMS 1500). IPP failed March 2018 , leak. Planning an AUS revision (total replacement) in 2018, now I need the IPP too.

radiodec
Posts: 523
Joined: Fri Aug 31, 2012 2:52 pm
Location: Portland, TN

Re: Medicare Pay for Implants?

Postby radiodec » Mon Dec 03, 2012 1:39 pm

A PCa diagnosis and treatment in the past is certainly a big help, even with private insurance. The theory is that once there is any kind of PCa treatment the implant becomes reconstructive surgery and is treated as such. The same is true for breast cancer and breast implants for the women after any type of major breast tissue removal for cancer. Gender equality, do it for one have to do it for the other.

I was lucky enough that I didn't get the first squawk out of my insurance for my implant. Had to jump through a few hoops for injections when they were working. Though I am eligible for medicare I am still using insurance from my employer, overall it beats medicare with minimal hassle.

Radiodec
70 - married 47 years: RP - 2000, injections till 2012, AMS700LGX with 21cm tubes 2cm extenders 11/7/2012, failed 6/5/2017 --- Re-implanted 8/18/2017 with AMS 700CX -- Implants by Dr. David Morris, Hendersonville,TN


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