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Will Medicare Cover Surgery

Posted: Sat Aug 18, 2018 5:56 pm
by alfa88
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?

Re: Will Medicare Cover Surgery

Posted: Sat Aug 18, 2018 5:59 pm
by Floppy
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

Re: Will Medicare Cover Surgery

Posted: Sat Aug 18, 2018 6:17 pm
by justanotherdrumber
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.

Re: Will Medicare Cover Surgery

Posted: Sat Aug 18, 2018 8:14 pm
by DougAnd
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.

Re: Will Medicare Cover Surgery

Posted: Sat Aug 18, 2018 9:43 pm
by alfa88
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

Re: Will Medicare Cover Surgery

Posted: Sun Aug 19, 2018 12:04 am
by RayChez
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.