Not approved by Medi-CAL ,38 Male, Los Angeles-California

The final frontier. Deciding when, if and how.
passionatedoer
Posts: 22
Joined: Tue Sep 19, 2023 8:52 pm

Not approved by Medi-CAL ,38 Male, Los Angeles-California

Postby passionatedoer » Wed Feb 14, 2024 11:21 am

Doctor said

“I sent the message to Urology department, who informed me that DHS does not offer penile prosthesis as we knew, however, they also informed me that they also do not accept the out-of-network cost for the procedure.”

That’s what he said.

But Dr.Faysal Yafi accepts Medi-CAL. How’s that possible that doctors are accepting insurance that doesn’t allow a prosthesis?

Anyone else had this issue?

Help me out please.


DHS = Department of Health Services

JohnHC
Posts: 217
Joined: Mon Apr 24, 2023 9:35 am

Re: Not approved by Medi-CAL ,38 Male, Los Angeles-California

Postby JohnHC » Wed Feb 14, 2024 11:48 am

If the Dr does other covered procedures that will make sense. My insurance ( just found this out ) does not cover the implant surgery, but it covered the stricture surgery done by the same Dr. So the Dr can and will accept an insurance carrier even if the carrier doesn't cover implant surgery. Hope you can find an alternate way to pay. Good luck
AMS 700 CX 21cm x 12mm with 1.5cm RTE, MS pump, and Conceal Reservoir. Implanted on 4-12-2023 removed and replaced 6-22-23 with the same, 1st implant surgery had pinhole leak in left cylinder, second failure tubing at connector


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