Will medicare pay for a revision?

The final frontier. Deciding when, if and how.
October26
Posts: 382
Joined: Sun Sep 20, 2020 2:17 pm

Re: Will medicare pay for a revision?

Postby October26 » Wed Dec 06, 2023 10:19 am

beachbum1 wrote:Just seen this thread. I just got a
Replacement. 08/23/23. Medicare has paid for both the original and the replacement. As others have said, once your are eligible for Medicare and sign up, be sure to get a supplement plan with someone. My replacement, Medicare was billed I think somewhere around $22000+. Medicare approved I think $17000 and paid 80% my suplamental insurance covered the 20% cost me nothing out of pocket.


I am just curious to ask if your replacement was the same size as your original IPP? Also, how did it go?
Coloplast Titan 22 cm + 1.5 cm RTE 10/26/2020

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beachbum1
Posts: 87
Joined: Tue Aug 03, 2021 1:56 pm

Re: Will medicare pay for a revision?

Postby beachbum1 » Wed Dec 06, 2023 3:06 pm

To answer your question, my revision is 2 or 3 cm larger. Day after surgery when my Dr removed the catheter i asked and he said he put in a 21+ 3. Said he measured 11 down and 12 up. My original was 18 + 3. But i think he ment 21+2. Hope 3 was correct. Haven't received the patient id card yet. Its been almost 4 months and i now measure just about 3/4" longer and 1/2" larger in girth. I've got the AMS 700 lgx so may, and should according to AMS, a bit more.
The surgery was a breeze. Everything came out without any issues and went back in easily. after 2 or 3 days couldn't hardly tell i had surgery. only real pain was the catheter and some soreness which went away quickly. was able to inflate and deflate in 2 days . Only gave it a couple of squeezes then let it off. Nearly no swelling and bruising. Couldn't have been happier.
Last edited by beachbum1 on Wed Dec 06, 2023 3:13 pm, edited 1 time in total.
Had to join again as beachbum1. Was and am beachbum but chat has blocked me from a few members
First implanted AMS 700 CX 18+3, in Sept of 2016. Replacement AMS 700 CX 21+2 in August 2023

Hillywilly
Posts: 610
Joined: Thu May 12, 2022 11:03 am

Re: Will medicare pay for a revision?

Postby Hillywilly » Wed Dec 06, 2023 3:12 pm

I may be mistaken but I have heard you CANNOT be denied coverage for an implant replacement once you've already had one placed for medical necessity. Hopefully that is the case. Anyone else heard that?
33 HG deformity now Titan OTR 24cm XL + 1 cm RTE's Length 7.25in/ Girth 6in (midshaft) Dr. Hakky 4/4/23

LMCatman
Posts: 1017
Joined: Wed May 08, 2013 11:11 am
Location: South Florida, USA

Re: Will medicare pay for a revision?

Postby LMCatman » Wed Dec 06, 2023 4:34 pm

My regular health insurance paid for my first implant and my first revision. Medicare paid for my two subsequent revisions. Good luck man!
73 Years old. RP Oct 2010, No erections after, Botched Titan implant April, 2013, Successful Titan revision, April , 2014 by Dr. Paul Perito, Miami. Titan failure Feb 2017. Rev. by Dr Perito March 1st, 2017. Titan failure Nov 2020. New Titan January 2021

oldbeek
Posts: 2547
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Will medicare pay for a revision?

Postby oldbeek » Wed Dec 06, 2023 11:58 pm

I also think you can sign up for medicare 3 months before you turn 65. Cneck it out.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20


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