did your insurance pay?

The final frontier. Deciding when, if and how.
addige
Posts: 24
Joined: Mon May 29, 2017 3:24 am

did your insurance pay?

Postby addige » Mon Jul 03, 2017 10:21 pm

someone mentioned in another post that insurance doesn't always pay for the procedure; they noted that if it's part of reconstruction then it's covered, but if the Dr. states ED as the cause, insurance might not pay.

I haven't had any surgery or injury that's caused my ED, but it seems to be a health problem that isn't going away, i feel it should be covered under insurance just like anything else. I would think that reproductive health should be covered.
42 y/o. Occasional ED up to 30 y/o then always. viagara and cialis not good enough, injections work a little better. Considering implant, looking for the best Doc.

Tybeeman
Posts: 715
Joined: Sun Aug 21, 2016 8:54 am
Location: Savannah, Ga.
Contact:

Re: did your insurance pay?

Postby Tybeeman » Mon Jul 03, 2017 10:39 pm

addige wrote:someone mentioned in another post that insurance doesn't always pay for the procedure; they noted that if it's part of reconstruction then it's covered, but if the Dr. states ED as the cause, insurance might not pay.

I haven't had any surgery or injury that's caused my ED, but it seems to be a health problem that isn't going away, i feel it should be covered under insurance just like anything else. I would think that reproductive health should be covered.


Depends on the policy. If you are getting it from an employer or work in government it is probably covered. But if you get your insurance as a individual it maybe tough. Most insurance companies ato less want you to try pills or injections first. All you have to do is pick up the phone and call.
PC at age 56
RALP on 2/16
Implant on 6/26/2017 Doctor Tariq Hakky
Coloplast Titan OTR, 22cm with 1 cm RTE

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: did your insurance pay?

Postby alibaba » Mon Jul 03, 2017 11:16 pm

Mine did after a LONG battle. Had a specific section that it would not pay for any procedure that promotes conception and threw that under that bus just for grins. Personally, I would say if the cause is diabetes, leak, nerve damage, surgery to the groin or spine, high blood pressure, injury, then it should be covered and I would turn into a mean dirty bitch and fight them if they said otherwise. There is no better advocate than yourself. You live in that body 24-7. If you have an idea that may be a contributing factor, share it with your doctor and enlist his support or help to kick ass and win. Good luck luck with the phone call too. I had many reps tell me it was not covered only to find myself there was no exclusion except for conception. In one case I was told they "automatically" deny every claim up to 3 times and an attorney and former judge told me in a meeting that every claim has a cost assigned to it. If the person handling the claim can reduce the amount set aside for a claim, they get a commission on what they save.
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.

strongagain
Posts: 594
Joined: Tue Aug 25, 2015 11:17 am

Re: did your insurance pay?

Postby strongagain » Tue Jul 04, 2017 2:08 am

Health Care in Germany is way better than in the US - my medical aid paid every cent. The doctor/hospital settled with medical aid directly.
Born in 1950, ED since 2007 (colon cancer)
08/2015 Titan Zero Degree 22 cm + 3 cm RTE
Dr. Leiber, Freiburg, Germany
6.5" x 5.7" - Very happy with implant

Living in Freiburg, Germany

Xomanow
Posts: 403
Joined: Mon Dec 14, 2015 9:03 pm

Re: did your insurance pay?

Postby Xomanow » Tue Jul 04, 2017 11:17 am

Medicare paid 100% for mine......who said getting old sucks?????
Implanted Jan 4 2017 by Dr. Eid - 70 yo and single...ED gradually over 15 yrs...tired of pills, injections, cock rings....happy with my choice and results. Titan OTR - one 20cm cylinder - one 20cm+1 RTE...."got a rocket in my pocket"....

nudist
Posts: 154
Joined: Thu Jun 08, 2017 7:44 pm

Re: did your insurance pay?

Postby nudist » Tue Jul 04, 2017 2:39 pm

"Medicare paid 100% for mine......who said getting old sucks?????"

I have a medicare advantage plan. my dr. copay is $50 each and the hospital copay is $100.
they say I have to pay 20% of the cost of the implant ('durable medical equipment') but won't tell me how much that is.

are you sure straight medicare paid the full cost, including the device??
updated: 70 y.o., implanted with titan nov. 3 by Dr. Brady in orlando to correct peyronies. 20 cm with 3 cm RTEs. due to the severity of the peyronies, some internal excisions were made scrotally, recovery will probably take a little longer.

roninhouston
Posts: 255
Joined: Tue Mar 03, 2015 2:25 pm
Location: Houston

Re: did your insurance pay?

Postby roninhouston » Tue Jul 04, 2017 3:57 pm

This question has been discussed many time so do a search on insurance.

Coverage will depend on your insurance and your doctors ability to show them you need it. If you are old enough for Medicare it will pay for it. I have Medicare Advantage which matches Medicare.

My doctor's staff worked with the insurance after he did several tests to show other cures did not work. After several months it was approved and I paid for a one night in the hospital plus meds. Less than $500.
Bionic@68 AMS CX 8/2015. Inflated September Dr. Robert Cornell.
69 with VL
. Pre-Op VED Protocol Therapy & Post-Op VED Therapy: 6th month Pre-Op length. 76 Prostate Cancer(12/22). HormoneRT & Radiation Treatments. PSA of 0.01(6/2023)

radiodec
Posts: 523
Joined: Fri Aug 31, 2012 2:52 pm
Location: Portland, TN

Re: did your insurance pay?

Postby radiodec » Tue Jul 04, 2017 6:25 pm

Some employer insurance spells out the non-coverage explicitly. "penile implants are not covered" This is the insurance for a major steel company. They cover breast reconstruction after mastectomies but won't cover implants after prostatectomies. Methinks gender discrimination.
70 - married 47 years: RP - 2000, injections till 2012, AMS700LGX with 21cm tubes 2cm extenders 11/7/2012, failed 6/5/2017 --- Re-implanted 8/18/2017 with AMS 700CX -- Implants by Dr. David Morris, Hendersonville,TN

ShopMan
Posts: 354
Joined: Mon Mar 11, 2013 6:33 am

Re: did your insurance pay?

Postby ShopMan » Tue Jul 04, 2017 9:57 pm

Xomanow wrote:Medicare paid 100% for mine......who said getting old sucks?????


Same with me. Except I did have a $450. (approx.) co pay. It was worth every penny.
Charlie
80 yrs. Married 60 years. Hypertension but under control with meds.

ED since 1995. Viagra then switched to Cialis. Both quit working.
Was on Trimix. Tri-Mix quit working. Implanted by Dr. Novak Grand Rapids, Mi 12/16/2014 AMS LGX

roninhouston
Posts: 255
Joined: Tue Mar 03, 2015 2:25 pm
Location: Houston

Re: did your insurance pay?

Postby roninhouston » Tue Jul 04, 2017 10:33 pm

Same with me. Except I did have a $450. (approx.) co pay. It was worth every penny.
Charlie


I agree it was and is work every penny. Knowing what I know now it is difficult to put a price on it.
Bionic@68 AMS CX 8/2015. Inflated September Dr. Robert Cornell.
69 with VL
. Pre-Op VED Protocol Therapy & Post-Op VED Therapy: 6th month Pre-Op length. 76 Prostate Cancer(12/22). HormoneRT & Radiation Treatments. PSA of 0.01(6/2023)


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