Postby Txagq8 » Wed Sep 11, 2024 12:25 am
John:
You don’t have to answer this if it makes you uncomfortable, but what part of the country are you in and what doc did you use?
I’m of the opinion (and God I know it’s tough to be patient) that not all is lost.
I suspect a methodical search of better surgeons will turn up one who might be willing to take a look at your case.
Forget, for a moment, that this is about a broken penile implant your insurance company refused to pay for. What we now have is a malfunctioning prosthetic device inside your body. As badly as the government, insurance companies, and big pharma have fucked up our medical system….nothing surprises me. A good surgeon with a smart insurance claims clerk may very well be able to find a CPT code covering “removal of malfunctioning prostheses” and your insurance might pay that code without batting an eye.
As I said in a different thread recently, the vast majority of these doctors are not without compassion. Sure, they like to make a few $$$. But the way in this business to do well is to establish a reputation for good work and happy patients.
So let’s say my vision comes true and the insurance carrier will eat the cost of removing the non-functioning prosthetic device. That’s paid for your pre-op, your anesthesia, your OR, and the surgeon to do the removal.
Don’t you think for just a nominal extra service charge this doc will slide a new one in and stitch you up? AMS is providing it at no cost.
Truthfully, I have no idea what will happen. But I have always operated on the theory if I complain loudly enough, for a sufficient length of time, eventually the right person will get tired of hearing me bellyache and they’ll give in.
I wish you the best.
Age 68. Physically fit educated red neck in Texas. Very married. 23 cm (18+5) of LGX installed by Dr. Bryan Kansas 12/31/2019. I fought the ED and my wife & I won. I’m either full of shit or sound advice. You decide which.