Health Insurance Coverage

The final frontier. Deciding when, if and how.
ragingbull
Posts: 76
Joined: Fri Jul 26, 2024 10:24 pm

Health Insurance Coverage

Postby ragingbull » Mon Sep 30, 2024 8:24 am

If anyone here has had their Penile Implantation surgery covered by a commercial (non-government) health insurance plan in the US, could you please share the name of your insurance provider? I want to make the right choice for the upcoming year.

wilsonmill
Posts: 243
Joined: Mon Mar 11, 2019 9:50 am
Location: Raleigh NC

Re: Health Insurance Coverage

Postby wilsonmill » Mon Sep 30, 2024 5:55 pm

BCBS I am sure there are different levels but I have had 2 implants with them thru my company's insurance
Age 64, type 1 diabetic, Married 20+ years, Titan implant 23 cm 27Feb2019, Duke Medical Hospital, Dr Lentz, failed March of 2024, revision 25Jun24 AMS700 LGX 18cm 5rte's Dr Andrew Chang associated urology Raleigh NC, Rex Hospital

ragingbull
Posts: 76
Joined: Fri Jul 26, 2024 10:24 pm

Re: Health Insurance Coverage

Postby ragingbull » Tue Oct 01, 2024 11:27 am

wilsonmill wrote:BCBS I am sure there are different levels but I have had 2 implants with them thru my company's insurance


Thank you! Is BCBS good with processing revision claims as well?

wilsonmill
Posts: 243
Joined: Mon Mar 11, 2019 9:50 am
Location: Raleigh NC

Re: Health Insurance Coverage

Postby wilsonmill » Tue Oct 01, 2024 12:58 pm

I had no issues with the revision, paid my deductible and the rest was taken care of. I did check with my surgeon/ urologist before hand though. Didn't want a $60k surprise. Next July is Medicare, sounds like by what I have read on FT folks on Medicare have no issues getting a implant done.. hopefully won't need another.
Age 64, type 1 diabetic, Married 20+ years, Titan implant 23 cm 27Feb2019, Duke Medical Hospital, Dr Lentz, failed March of 2024, revision 25Jun24 AMS700 LGX 18cm 5rte's Dr Andrew Chang associated urology Raleigh NC, Rex Hospital

ragingbull
Posts: 76
Joined: Fri Jul 26, 2024 10:24 pm

Re: Health Insurance Coverage

Postby ragingbull » Tue Oct 01, 2024 4:18 pm

wilsonmill wrote:I had no issues with the revision, paid my deductible and the rest was taken care of. I did check with my surgeon/ urologist before hand though. Didn't want a $60k surprise. Next July is Medicare, sounds like by what I have read on FT folks on Medicare have no issues getting a implant done.. hopefully won't need another.


Thank you Wilsonmill. Yes, hopefully you won't need another one and yes, Medicare is really the best for this procedure!

Bigdog4all
Posts: 189
Joined: Mon Jul 16, 2018 4:02 pm

Re: Health Insurance Coverage

Postby Bigdog4all » Tue Oct 01, 2024 6:42 pm

Medicare is really the best for this procedure!


My $89K was all covered. Including my over night stay.
72, AMS 700 LGX. Married to an Angel. Discovered ED at 67. Path = Diabetic, Supplements, Pills, Needle, Pump, and finally AMS 700 (2-8-24).

ViaSwiss
Posts: 624
Joined: Fri May 24, 2019 9:09 am

Re: Health Insurance Coverage

Postby ViaSwiss » Wed Oct 02, 2024 3:30 pm

Anthem BC/BS and United covered my implants with only minimal headache.

Ambetter would not cover at all.

I currently have Cigna, which I have heard is really difficult to get to pay and I've heard the same about Aetna. Dr Hakky confirmed the same.

The following message is from Hakky when I asked...

Hi ViaSwiss
I would avoid AETNA and CIgna. They like to not pay. Safe insurance BCBS and United and Humana.
T
Age 37. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky

ragingbull
Posts: 76
Joined: Fri Jul 26, 2024 10:24 pm

Re: Health Insurance Coverage

Postby ragingbull » Wed Oct 02, 2024 5:46 pm

ViaSwiss wrote:Anthem BC/BS and United covered my implants with only minimal headache.

Ambetter would not cover at all.

I currently have Cigna, which I have heard is really difficult to get to pay and I've heard the same about Aetna. Dr Hakky confirmed the same.

The following message is from Hakky when I asked...

Hi ViaSwiss
I would avoid AETNA and CIgna. They like to not pay. Safe insurance BCBS and United and Humana.
T


This is great information. Much appreciated.
So, BCBS, Humana, and UnitedHealthcare, correct? Is "Safe Insurance" the fourth company, or was he suggesting these are safer options?

ViaSwiss
Posts: 624
Joined: Fri May 24, 2019 9:09 am

Re: Health Insurance Coverage

Postby ViaSwiss » Mon Oct 07, 2024 12:13 pm

This is great information. Much appreciated.
So, BCBS, Humana, and UnitedHealthcare, correct? Is "Safe Insurance" the fourth company, or was he suggesting these are safer options?


Safe insurances: BCBS, United, Humana
Age 37. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky


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