Medicare coverage

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Valkommen
Posts: 1
Joined: Mon Sep 04, 2023 3:13 pm

Medicare coverage

Postby Valkommen » Fri Sep 08, 2023 8:54 pm

I have had issues with Trimix and am considering an implant. Is it relatively easy to get Medicare to cover costs.

1969CevyC10
Posts: 146
Joined: Sun Dec 06, 2020 11:36 pm

Re: Medicare coverage

Postby 1969CevyC10 » Fri Sep 08, 2023 11:29 pm

I suspect you will need pre-approval. If you google Medicare Coverage and look under
sex aids or reproduction systems it should give you an answer. If nothing else call the
800 number for Medicare and ask someone. Good Luck
used cialis, viagra, started pumping and using rings, just started injecting edex Jan of 2022

easymoney
Posts: 607
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: Medicare coverage

Postby easymoney » Sat Sep 09, 2023 12:59 am

my medicare would not cover the shots .. had to pay myself ... I'm in fl there is a place here that is very reasonable for the shots .. don't know if they ship out of state or not .. called MenMD

oldog12
Posts: 92
Joined: Tue Dec 11, 2012 10:47 am
Location: Southwest USA

Re: Medicare coverage

Postby oldog12 » Wed Sep 20, 2023 6:33 am

Medicare covered mine. I had previously had a prostatectomy, so that may have been an influence. The surgeon's office did the pre-authorization. No hiccups.
Age 70; Radical prostatectomy 11/2018; Married 46+ yrs.
AMS 700 CX Jan. 6, 2022 with Dr. Shawn Blick/Phoenix

Old Guy
Posts: 2703
Joined: Tue Mar 31, 2020 4:31 pm
Location: Ohio

Re: Medicare coverage

Postby Old Guy » Wed Sep 20, 2023 8:29 am

Medicare B covers the implant surgery. If you only have basic Medicare A, I don't think so.
Doctors' office billing staff are the ones to ask.
Nov. 8, 2019
4+ years, Coloplast Titan OTR
Married 36 years to my beautiful young bride
Always here to answer questions if you PM me

jwitten567
Posts: 88
Joined: Thu May 25, 2023 12:24 pm

Re: Medicare coverage

Postby jwitten567 » Fri Sep 22, 2023 2:02 pm

Hi
Medicare A will cover but if that's only coverage you have you will have $1600 deductible for the year. if you have other coverage, than implant is covered completely. That was my case. You should check with a surgeon's office, they can do all the authorization through for your specific insurance situation. - JW
Radical Prostatectomy in 2015; failed pills, straight to Coloplast Titan in 2019 by Dr. Valenzuela in NYC, Replaced with AMS 700 CX in 2022 by Dr. Darshan Patel in San Diego, CA. Wish I jumped to an implant even before prostate cancer!

jwitten567
Posts: 88
Joined: Thu May 25, 2023 12:24 pm

Re: Medicare coverage

Postby jwitten567 » Fri Sep 22, 2023 2:03 pm

they don't cover any injectables including edex/caverjet that you can get from big box pharmacies. they definitely don't cover trimix/bimix.
Radical Prostatectomy in 2015; failed pills, straight to Coloplast Titan in 2019 by Dr. Valenzuela in NYC, Replaced with AMS 700 CX in 2022 by Dr. Darshan Patel in San Diego, CA. Wish I jumped to an implant even before prostate cancer!


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