Will Medicare Cover Surgery

The final frontier. Deciding when, if and how.
alfa88
Posts: 373
Joined: Sat Jun 30, 2018 2:59 pm
Location: North of Gilligan's Island

Will Medicare Cover Surgery

Postby alfa88 » Sat Aug 18, 2018 5:56 pm

I'm currently trying Alprostadal(Edex) and plan on switching to trimix. In the event Trimix doesn't help I'm contemplating an implant. Reading the various posts it looks like there's about a 6 week recovery time. That being said I'd get this surgery after retirement . I haven't had prostate surgery and I'm fighting pre-diabetes at the moment so I don't have a glaring physical reason for ED other than my medical history and being in my 60s. Question: Will Medicare cover implant surgery?
53 years old, married 32 years. Decades of ED & PE. BPH. Tried Viagra W & W/O T-Shots, Levitra and Cialis, Edex, Trimix starter, medium, strong with poor results, VED. Implanted w/AMS700CX 21cm X 12mm w/1.5cm RTE by Dr. Leroy Jones 9/1/20

Floppy
Posts: 77
Joined: Thu Jun 28, 2018 9:03 am

Re: Will Medicare Cover Surgery

Postby Floppy » Sat Aug 18, 2018 5:59 pm

The answy is yes and if you have a supplemental insurance like bcbs you will not be responsible for any cost but the logistics of got to wherever you chose to have your sury
Born 1952,
RRP 6/1/18 Viagra worked prior to RRP
Trimix painful didn't work Bimix didn't work either
Implanted Titan 20CM 1CM rte
10/26/18 Dr. Eid
Great experience

justanotherdrumber
Posts: 242
Joined: Sun Mar 25, 2018 11:29 pm
Location: Erie, PA

Re: Will Medicare Cover Surgery

Postby justanotherdrumber » Sat Aug 18, 2018 6:17 pm

Floppy wrote:The answy is yes and if you have a supplemental insurance like bcbs you will not be responsible for any cost but the logistics of got to wherever you chose to have your sury


The short answer is YES !

You should seek prior approval.
Erie,PA
Age 64 - g/f 34
Implanted ams700 lgx, 18cm+1cm RTE
March 2018

DougAnd
Posts: 1536
Joined: Sun Jul 08, 2018 5:10 pm
Location: Melbourne, Florida

Re: Will Medicare Cover Surgery

Postby DougAnd » Sat Aug 18, 2018 8:14 pm

Medicare pays 80% of costs. Less your $184.00 yearly deductible. Right now pre approval is easy. Just tell your uro that you have tried pills, ved, masturbation, and that you'd like an ultra sound to see what your venous leakage is. 6 or more and you are gold. But even under that if you cannot hold an erection consistently they will approve you. Implants have been dropping annually so at some point they may say too few need it and cut it out. My surgeons put totally impotent on their report which is true. Good luck
Ps get a secondary supplement that pays everything approved by medicare but not paid for. Costs about $140.00 per month and then next year if you don't need it drop it.
LGX 18cm+3cmRTE 8 / 8/18 by Docs Saracino , Prody of FL Disfigured by Implant. Married 31 years, Functionally impotent 2+ years. 4" day of surgery now 7" inflated after VED 6.5" without. Pump moved 12/4/18 by Dr Kata

alfa88
Posts: 373
Joined: Sat Jun 30, 2018 2:59 pm
Location: North of Gilligan's Island

Re: Will Medicare Cover Surgery

Postby alfa88 » Sat Aug 18, 2018 9:43 pm

get a secondary supplement that pays everything approved by medicare but not paid for. Costs about $140.00 per month and then next year if you don't need it drop it.


I have retirement medical so it looks like a bionic Alfa Jr. could be in my future. :D
53 years old, married 32 years. Decades of ED & PE. BPH. Tried Viagra W & W/O T-Shots, Levitra and Cialis, Edex, Trimix starter, medium, strong with poor results, VED. Implanted w/AMS700CX 21cm X 12mm w/1.5cm RTE by Dr. Leroy Jones 9/1/20

RayChez
Posts: 336
Joined: Sat Mar 17, 2018 11:25 pm

Re: Will Medicare Cover Surgery

Postby RayChez » Sun Aug 19, 2018 12:04 am

I have a medicare advantage and it covered all but hundred dollar co payment because I was an out patient. If I had stayed over night it would have cost me zero. This was on the revision that I had.

The first implant I was still working and I had a PPO insurance and it paid 80%, but I also had a supplement insurance to cover the 20% not covered by the primary insurance. So every dollar cost was covered.
age: 75 First implant around 2001, 59 at the time. AMS 700 Ultrex
revision Dec 2016. 2ND implant 21CM, 1rte AMS 700 LGX MS pump


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