Did your insurance cover your revision?
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- Posts: 411
- Joined: Fri Dec 02, 2016 7:27 pm
Did your insurance cover your revision?
I'm thinking about 10-15 years down the road.
Implanted by Dr. Andrew Kramer 2/22/17. 18 cm AMS LGX with 2 cm RTE's (total 20cm).
Activated 3/11/17. Best decision I've ever made.
Activated 3/11/17. Best decision I've ever made.
Re: Did your insurance cover your revision?
Humana paid for my initial implant and for my revision. I believe Medicare is going to pay for my upcoming revision. I was "out of pocket" a couple thousand dollars each time.....
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
Re: Did your insurance cover your revision?
Yes.
Implant AMS 700CX MS (21cm x 12mm with 3 RTEs) on Nov 21st 2016. Activation date Dec 22nd 2016
Re: Did your insurance cover your revision?
I have BCBS and they covered the whole procedure except for code 54360 for modeling to correct curvature. I filed an appeal and waiting for Dr Kramers office to send over my medical records. The billable amount for code 54360 is $2,350
Implanted on December 28, 2016 by Dr Kramer with a 21 CM AMS LGX. 47 years old and have been dealing with ED due to Venous leak since my 20's.
Re: Did your insurance cover your revision?
I had original in February and revision in July.
In BOTH cases :-
Medicare paid 100% to hospital and 80% to Dr (based on their official rate of course)
Gap Insurance (Omaha) paid the extra 20% of the Medicare rate to Dr.
So I did not pay a single penny (except for parking..)
In BOTH cases :-
Medicare paid 100% to hospital and 80% to Dr (based on their official rate of course)
Gap Insurance (Omaha) paid the extra 20% of the Medicare rate to Dr.
So I did not pay a single penny (except for parking..)
Age 73
Apr-15-14. RP-Pills, Injections No help. VED(almost old size in tube).
Feb-12-16, Dr Cornell, AMS-CX "18+4" LOTS PROBLEMS!
Jul-6-16 Dr Khera ColoPlast "20+1" Very Unhappy with very short length/width but Dr insists correct
Apr-15-14. RP-Pills, Injections No help. VED(almost old size in tube).
Feb-12-16, Dr Cornell, AMS-CX "18+4" LOTS PROBLEMS!
Jul-6-16 Dr Khera ColoPlast "20+1" Very Unhappy with very short length/width but Dr insists correct
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- Posts: 411
- Joined: Fri Dec 02, 2016 7:27 pm
Re: Did your insurance cover your revision?
palace01 wrote:I had original in February and revision in July.
In BOTH cases :-
Medicare paid 100% to hospital and 80% to Dr (based on their official rate of course)
Gap Insurance (Omaha) paid the extra 20% of the Medicare rate to Dr.
So I did not pay a single penny (except for parking..)
Damn I need your insurance.
Implanted by Dr. Andrew Kramer 2/22/17. 18 cm AMS LGX with 2 cm RTE's (total 20cm).
Activated 3/11/17. Best decision I've ever made.
Activated 3/11/17. Best decision I've ever made.
Re: Did your insurance cover your revision?
Mine were. 1st was end October 2015 & revision begining of Dec 2016, 13 months apart and they were both fully covered
Last edited by williamb on Wed Mar 01, 2017 7:19 pm, edited 1 time in total.
born 1949, Cancer 2014, 1st Implant AMS CX 18 + 3 RTE, Oct 2015 by a Houston Doctor. Left with loss of length, Floppy Glans and pain, a very poor job. Revision in Dec 2016 by Dr. Kramer, 21 + 3 1/2 RTEs, LGX, Regained length, Glans supported and no pain.
Re: Did your insurance cover your revision?
RichardTheFrog wrote:palace01 wrote:I had original in February and revision in July.
In BOTH cases :-
Medicare paid 100% to hospital and 80% to Dr (based on their official rate of course)
Gap Insurance (Omaha) paid the extra 20% of the Medicare rate to Dr.
So I did not pay a single penny (except for parking..)
Damn I need your insurance.
In 40 years time, when you are entitled to Medicare, then hopefully you will - assuming Mr. Trump doesn't take it away of course!
Age 73
Apr-15-14. RP-Pills, Injections No help. VED(almost old size in tube).
Feb-12-16, Dr Cornell, AMS-CX "18+4" LOTS PROBLEMS!
Jul-6-16 Dr Khera ColoPlast "20+1" Very Unhappy with very short length/width but Dr insists correct
Apr-15-14. RP-Pills, Injections No help. VED(almost old size in tube).
Feb-12-16, Dr Cornell, AMS-CX "18+4" LOTS PROBLEMS!
Jul-6-16 Dr Khera ColoPlast "20+1" Very Unhappy with very short length/width but Dr insists correct
Re: Did your insurance cover your revision?
Nobody knows what the insurance landscape will look like in a decade or two. There's not much reason to believe it will be better, cheaper, or more available than it is now.
Dave, 80, Maryland - Implant (Titan) 2008 by Dr. Andrew Kramer (failed Sept 2020) - never used due to a stroke that, among other things, ended my sex life.
Life is not the way it's supposed to be, it's the way it is.
Life is not the way it's supposed to be, it's the way it is.
Re: Did your insurance cover your revision?
Said they would Monday.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.
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