Denied by Insurance

[CarbonBurrito]

I have a policy with Anthem BCBS. They declined coverage of IPP. According to the policy's "What is Not Covered" section, "66. Sexual Dysfunction Services or supplies for male or female sexual problems."

This seems like something I won't be able to appeal.

I've had ED issues since 32. A couple years back, I told myself that I was just going to get an implent if my ED wasn't getting better at 45. Now that I'm 45 and ready to make the decision, I find out my insurance won't even cover it.

We just so happen to be switching insurance carriers at the end of the month. So I'll see what the new policy covers.

BUMMER!!

[Implant2025]

Don't know where you live, but I flew from DC to Houston for IPP surgery with Clavell. He's awesome.

[CarbonBurrito]

Don't know where you live, but I flew from DC to Houston for IPP surgery with Clavell. He's awesome.

I'm just a short drive from Houston. So, I will be seeing Clavell when the time comes!

[Implant2025]

I'm just a short drive from Houston. So, I will be seeing Clavell when the time comes!

If your new insurance doesn't cover implants, can you opt out and buy your own insurance policy? Having to pay out of pocket totally sucks.

[Lawnman]

I’m sorry, but I find the denial completely unacceptable. It’s not right.

[CarbonBurrito]

I’m sorry, but I find the denial completely unacceptable. It’s not right.

I completely agree. I find solice in the fact that there is zero "sexual dysfunction" coverage on this policy. So, it's not like anyone reviewed the facts and made a decision - they just deny all cases. It makes me hopeful that I will have better luck with our next insurance situation.

As far as covering the procedure, I hope that a few years of urology visits and doctor's notes will convince them to cover me. Pills work so rarely now, it's almost funny. I don't want to try shots due to chance of scar tissue and even less spontaneity than the pills. I am ready for a real solution here.

[Time2Change]

I’m sorry, but I find the denial completely unacceptable. It’s not right.

I completely agree. I find solice in the fact that there is zero "sexual dysfunction" coverage on this policy. So, it's not like anyone reviewed the facts and made a decision - they just deny all cases. It makes me hopeful that I will have better luck with our next insurance situation.

As far as covering the procedure, I hope that a few years of urology visits and doctor's notes will convince them to cover me. Pills work so rarely now, it's almost funny. I don't want to try shots due to chance of scar tissue and even less spontaneity than the pills. I am ready for a real solution here.

Keep fighting for it.

I fought with Cigna for months. Ultimately, I got a sympathetic customer service representative on the phone. She said it was a matter of the code that my doctor had submitted.

Within a couple of days, she called me back to tell me Cigna had approved my surgery. I still have her message saved on my phone.

[LastHope]

Cigna and Aetna are POS. Funny that they also have plans that end with POS.

BCBS/Humana/Kaiser/UHC are generally good for this procedure. My Aetna didn't cover.

[richard_goes_bionic]

If you don't get covered you can come to Europe. Good luck.

[Tokyo_123]

I have a policy with Anthem BCBS. They declined coverage of IPP. According to the policy's "What is Not Covered" section, "66. Sexual Dysfunction Services or supplies for male or female sexual problems."

This seems like something I won't be able to appeal.

I've had ED issues since 32. A couple years back, I told myself that I was just going to get an implent if my ED wasn't getting better at 45. Now that I'm 45 and ready to make the decision, I find out my insurance won't even cover it.

We just so happen to be switching insurance carriers at the end of the month. So I'll see what the new policy covers.

BUMMER!!

I just paid cash.