out of pocket cost?

The final frontier. Deciding when, if and how.
Nash3222
Posts: 50
Joined: Tue Nov 17, 2020 10:20 pm

out of pocket cost?

Postby Nash3222 » Wed Jan 17, 2024 7:16 pm

MY wonderful insurance denied coverage on an implant.

Has anyone paid out of pocket in USA to one of the experienced Docs that do mostly or all implants?

Whats that Docs name in Chicago that all he does is implants?
I read on here about him, anyone been there/know what he charges for cash patients?

newbie443
Posts: 1931
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: out of pocket cost?

Postby newbie443 » Wed Jan 17, 2024 8:44 pm

Nash3222 wrote:MY wonderful insurance denied coverage on an implant.

Has anyone paid out of pocket in USA to one of the experienced Docs that do mostly or all implants?

Whats that Docs name in Chicago that all he does is implants?
I read on here about him, anyone been there/know what he charges for cash patients?


https://surgeo.com/penile-implant

Laurence Levine, MD is the doctor and list his price on the web site above.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

ThailandBound
Posts: 966
Joined: Fri Dec 16, 2022 5:32 pm

Re: out of pocket cost?

Postby ThailandBound » Thu Jan 18, 2024 8:47 am

My company provided insurance, UMR, denied my implant. If i could have waited 1 1/2 years Medicare would have covered it, but i wasn’t willing to wait that long.

I consulted with Drs. Perito & Clavell. I chose Clavell who was about $10,000 cheaper than Perito, out of pocket. I paid $21,000 total in Jan 2023. am extremely happy with the outcome.
Active, athletic 63 years old. Sexually, still 33 in my mind and spirit. Pills and injections all worked, until they didn’t. Diagnosed with veinous leakage in 2022. Coloplast Titan. 22 CM. No RTE. Peno-scrotal. Implanted 1/4/23. Dr. Clavell.

easymoney
Posts: 606
Joined: Tue May 09, 2023 10:28 am
Location: West Coast Fl.

Re: out of pocket cost?

Postby easymoney » Thu Jan 18, 2024 9:48 am

If you have medicare insurance I think all of them cover the cost of an implant ..if it was denied make sure the provider is coding it properly .. my copay was 270.00 last june

Nash3222
Posts: 50
Joined: Tue Nov 17, 2020 10:20 pm

Re: out of pocket cost?

Postby Nash3222 » Thu Jan 18, 2024 10:55 am

ThailandBound wrote:My company provided insurance, UMR, denied my implant. If i could have waited 1 1/2 years Medicare would have covered it, but i wasn’t willing to wait that long.

I consulted with Drs. Perito & Clavell. I chose Clavell who was about $10,000 cheaper than Perito, out of pocket. I paid $21,000 total in Jan 2023. am extremely happy with the outcome.



I am in same boat with UMR, crappy insurance. Same age as you too.

What model implant did you get? Where is Clavell located, how was recovery, etc?

Nash3222
Posts: 50
Joined: Tue Nov 17, 2020 10:20 pm

Re: out of pocket cost?

Postby Nash3222 » Thu Jan 18, 2024 10:56 am

easymoney wrote:If you have medicare insurance I think all of them cover the cost of an implant ..if it was denied make sure the provider is coding it properly .. my copay was 270.00 last june



I am 63.5, no Medicare for another 18 months, really don't want to wait that long.

My health insurance through my provider sucks.

Thanks for your input !

ThailandBound
Posts: 966
Joined: Fri Dec 16, 2022 5:32 pm

Re: out of pocket cost?

Postby ThailandBound » Thu Jan 18, 2024 2:46 pm

Nash3222 wrote:
ThailandBound wrote:My company provided insurance, UMR, denied my implant. If i could have waited 1 1/2 years Medicare would have covered it, but i wasn’t willing to wait that long.

I consulted with Drs. Perito & Clavell. I chose Clavell who was about $10,000 cheaper than Perito, out of pocket. I paid $21,000 total in Jan 2023. am extremely happy with the outcome.



I am in same boat with UMR, crappy insurance. Same age as you too.

What model implant did you get? Where is Clavell located, how was recovery, etc?


I got a Titan with a classic pump. Dr. Clavell is in Houston. A high volume surgeon very well regarded by a number of us on the forum. Type my screen name in the search box to see my journal. It’s entitled “it’s showtime!”.

Dr. Clavell also has a youtube channel. Highly recommended you view his channel. Binge read here and learn as much as you can.

For starters:
viewtopic.php?t=16298#p146383
Active, athletic 63 years old. Sexually, still 33 in my mind and spirit. Pills and injections all worked, until they didn’t. Diagnosed with veinous leakage in 2022. Coloplast Titan. 22 CM. No RTE. Peno-scrotal. Implanted 1/4/23. Dr. Clavell.

Islanderboy58
Posts: 65
Joined: Sun Nov 05, 2023 12:45 pm

Re: out of pocket cost?

Postby Islanderboy58 » Thu Jan 18, 2024 6:03 pm

Had my consultation with Dr Levine yesterday Really liked him, I do not know what his fee is as I am covered under medicare,
Many years on Viagra until it didnt help,I moved onto Trimix 5 years ago and it now has limited effect.Time to move on to The Implant.
Implanted 4/10/2024 by Dr Lawrence Levine Chicago
22 cm Titan with one .5 rte on left side.


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