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The final frontier. Deciding when, if and how.
FMLFML85
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Joined: Thu May 10, 2018 12:18 am

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Postby FMLFML85 » Fri May 25, 2018 9:47 am

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Donnie1954
Posts: 2518
Joined: Wed Feb 19, 2014 9:04 pm
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Re: Picking the surgeon

Postby Donnie1954 » Fri May 25, 2018 12:14 pm

Brother,
Most insurance requires documentations from your urologist. An implant is only done when you qualify. I had radiation treatment for prostate cancer and my dick was dead. An implant was my only viable solution. Insurance companies usually insist that you have tried everything else unless there is a condition such as Prostate removal or Peyronie's. They don't she'll out the money (mine was 94,000) unless they have too. Good luck my brother.
donnie1954@mail.com
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
.

FMLFML85
Posts: 578
Joined: Thu May 10, 2018 12:18 am

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Postby FMLFML85 » Fri May 25, 2018 12:47 pm

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newtoed
Posts: 420
Joined: Sun Jul 20, 2014 7:28 pm

Re: Picking the surgeon

Postby newtoed » Fri May 25, 2018 1:00 pm

Dear Friend,

The surgeon’s office want your business, the insurance doesn’t want to pay unless they have to.

Pick the surgeon you want, call their office, ask what’s the best insurance for the implant, get that insurance, have that office process the claim and get your surgery done.

All the best.
Age 54, Single, Los Angeles. Stage 2 rectal cancer in 2013. Radiation, surgery, chemo. In remission for 5 years. Some ED before cancer, complete since. 2-3 units of Trimix 40/30/2 2-3 times a week since Feb/2017 with great success!

Donnie1954
Posts: 2518
Joined: Wed Feb 19, 2014 9:04 pm
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Re: Picking the surgeon

Postby Donnie1954 » Fri May 25, 2018 1:03 pm

Mate,
Here in the States, if you have insurance they pad the bill. Then chop it in half. My out of pocket was around 800. No worries, mate.
donnie1954@mail.com
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
.

FMLFML85
Posts: 578
Joined: Thu May 10, 2018 12:18 am

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Postby FMLFML85 » Fri May 25, 2018 1:07 pm

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newbie443
Posts: 1839
Joined: Fri Dec 01, 2017 9:41 pm
Location: Sedgwick county, Kansas USA

Re: Picking the surgeon

Postby newbie443 » Fri May 25, 2018 1:14 pm

Welcome to the site.

First of all insurance is state controlled so it differs a bit from state to state so location may help a bit. Not all insurance companies sell in every state so you would need to find out which companies sell in your state.

I have BCBS of Kansas Gold plan insurance and they have no out of area coverage for my implant surgery. As this is considered an elective surgery (meaning I will not die if I do not have this surgery) BCBS can say who they will pay for this. So just because a surgeon I choose accepts BCBS dose not mean I can go to him/her and have BCBS pay. My plan does not require a referral. Your plan may be different. What it does require is authorization that I need this surgery because of physical injury of damage. My local health care does not do any testing. They only do treatment. So I had to do oral meds and fail and injections and fail with documentation of this before BCBS would pay the surgeon(s) they choose for this. And as I said that the cause was from physical injury or damage. My BCBS policy does not pay 100% of this.

I buy my insurance through BCBS as I am retired. It is compliant under Obama Care. Some work place provided insurance may be different. And I have seen posts on this site where Medicare will pay for out of area surgery.

I would recommend finding a very good local surgeon for this if you can. Not only for cost savings but for follow up care. Much easier that way if you are one of the few that have problems to get them resolved. I would look for a surgeon you trust to provide you the best possible results. Sounds like you are on the right track with your local uro and having testing. Do some research on him/her and others in your area and see if you can find a really good one you trust and make a plan.

I did not have any good surgeons in my area. Only ones who not give me infection rates and said I would loose one inch. I paid out of pocket for mine. It was 24k plus travel and lodging. If I would have stayed local the service providers would have billed much more. Insurance would not have paid all of it and I would have had to pay somewhere around 7k.

I hope this helps.
Injections failed. Implanted 3-21-18 AMS 700 LGX 21 + 1 RTE 100 cc reservoir 6.5" L 5" G Dr. Kramer.

Proximal Perforation Sling Repair 4/13/21 Dr. Broghammer

66 years young.

Will show and tell and talk with others.

Hawkman
Posts: 556
Joined: Sat Aug 25, 2012 3:09 pm
Location: PA
Contact:

Re: Picking the surgeon

Postby Hawkman » Fri May 25, 2018 1:17 pm

I have Federal Employees Blue Cross and it looked like Dr. Eid was NOT on the list but his office assured me he IS on the list. I discovered that Blue Cross has regions and if you are looking for a doctor that is in a different region it may not display his name even if you search his state. Before you conclude he is not covered, call the doctor and Blue Cross and give Blue Cross his name, specialty, and every address he practices from.
Prostatectomy 2004-Bimix caused Peyronies-Viagra had little effect. Active sex life with wife of 50 yrs- been dependent on a VED for 10 yrs. 22cm Titan w/Dr. Eid Aug 7th See my Implant Journal -> http://www.peyroniesforum.net/index.php/board,56.0.html

FMLFML85
Posts: 578
Joined: Thu May 10, 2018 12:18 am

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Postby FMLFML85 » Fri May 25, 2018 2:12 pm

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Donnie1954
Posts: 2518
Joined: Wed Feb 19, 2014 9:04 pm
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Re: Picking the surgeon

Postby Donnie1954 » Fri May 25, 2018 3:11 pm

If any surgeon, even a super star, told me I might lose length, I would run like hell. My local surgeon told me I would not lose length and I didn't. I couldn't be happier. Why would a perfectly healthy dick , like mine except for severe venous leakage, lose any length. I don't understand. My dick was a nice 7" erected and after my surgery and my Stretching Routine. I am still 7".
donnie1954@mail.com
Implant AMS 700 CX, MS (18cm x 12mm with 5.5cm RTEs) on 10\4\16. 64 Dr. Edward Kata of Orlando. Awesome surgeon. Check out, 'DD Bryan. My implant journey, Wit and Wisdom, Stretching routine, Implant Pics, Natural Hang. Live in Ga.
.


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