Insurance Woes

The final frontier. Deciding when, if and how.
phillip brooks
Posts: 3
Joined: Sat Jul 01, 2017 10:24 am
Location: Dallas TX

Insurance Woes

Postby phillip brooks » Wed Aug 30, 2017 12:03 pm

Hey Everyone,

Recently I was examined by my local urologist for my ED and Peyronies situation. I'm 54 years old, in fairly good health, exercise daily, but suffer from type 1 diabetes and a sexual related accident that caused my penis to be bent 90 degrees :o which caused a sever case of peyronies.

My DR. sees no other solution other then a Implant.

Anyway....Blue Cross/Blue Shield of Texas has denied the surgery. Does anyone here know of any insurance provider or supplemental insurance that I could purchase that covers implant surgeries?

BTW, I want to thank everyone on this forum. I have been following F/T for years now and truly appreciate everyone's input.

Thank You!

Anonymous3
Posts: 1307
Joined: Thu Aug 03, 2017 9:43 pm

Re: Insurance Woes

Postby Anonymous3 » Wed Aug 30, 2017 12:04 pm

Care credit

phillip brooks
Posts: 3
Joined: Sat Jul 01, 2017 10:24 am
Location: Dallas TX

Re: Insurance Woes

Postby phillip brooks » Wed Aug 30, 2017 12:11 pm

Thank you so much HTurner12, I'll check them out!

Is this provider a group you're familiar with?

Thanks again,

Phil

Anonymous3
Posts: 1307
Joined: Thu Aug 03, 2017 9:43 pm

Re: Insurance Woes

Postby Anonymous3 » Wed Aug 30, 2017 1:17 pm

phillip brooks wrote:Thank you so much HTurner12, I'll check them out!

Is this provider a group you're familiar with?

Thanks again,

Phil

They are not insurance they finance medical procedures

https://www.carecredit.com

Figure about 20k if out of pocket.

Ha e you or Dr filed and appeal to insurance

treetop
Posts: 276
Joined: Mon Mar 14, 2011 12:28 pm
Location: Southern California

Re: Insurance Woes

Postby treetop » Wed Aug 30, 2017 1:58 pm

I think the Dr. needs to make a case and argue for it.

One reason why I am going to Dr. EID. And one thing I hope I don't run into....
I have AETNA..
TT
Treetop -- (TT)
Implant - Pending Medicare in 2024 (I turn 65) -- I am now in planning stages.
My Introduction - http://www.franktalk.org/phpBB3/viewtop ... =14&t=7775

David_R
Posts: 2145
Joined: Mon Nov 02, 2015 1:03 pm

Re: Insurance Woes

Postby David_R » Wed Aug 30, 2017 3:08 pm

treetop wrote:I think the Dr. needs to make a case and argue for it.

I agree. (The doctor's office want to make some money, after all.)

Larry10625

Re: Insurance Woes

Postby Larry10625 » Wed Aug 30, 2017 3:21 pm

phillip brooks wrote:Hey Everyone,

Recently I was examined by my local urologist for my ED and Peyronies situation. I'm 54 years old, in fairly good health, exercise daily, but suffer from type 1 diabetes and a sexual related accident that caused my penis to be bent 90 degrees :o which caused a sever case of peyronies.

My DR. sees no other solution other then a Implant.

Anyway....Blue Cross/Blue Shield of Texas has denied the surgery. Does anyone here know of any insurance provider or supplemental insurance that I could purchase that covers implant surgeries?

BTW, I want to thank everyone on this forum. I have been following F/T for years now and truly appreciate everyone's input.

Thank You!



I don't suppose your doctor would agree to write a letter to your insurance saying it is MEDICALLY NECESSARY? If not, Manulife has "Flexcare" which people can purchase to cover this, but not that. After the surgery, cancel it.

Larry

TheProfessor
Posts: 34
Joined: Mon Aug 14, 2017 11:11 pm

Re: Insurance Woes

Postby TheProfessor » Fri Sep 01, 2017 5:24 pm

After three weeks of lurking here, posting a few times, and receiving nothing but encouragement from you all, I set October 29 as my surgery day.

However, I received notification from my doc's office this afternoon that our insurance has excluded this procedure in our coverage. I suppose I should state that my employer has excluded this procedure. The doc's office used "medically necessary" language due to the removal of my cancerous prostate last year, but the insurance company wouldn't budge.

Without insurance, there's no way we can afford this implant. We're changing insurers in January, so perhaps I'll have a different outcome.

I'm frustrated and discouraged, to put it mildly.

TheProfessor
The Professor

RP July 2016
Gleason 3+4=7
Peyronies
AMS Implant March 2019

University Professor of History

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

Re: Insurance Woes

Postby Tybeeman » Fri Sep 01, 2017 9:59 pm

There is something wrong. I think there was a court ruling on men that had prostratetomy. If woman can get a boob job after cancer surgery, which is covered by all policies. You may want to dig a little deeper in to that.
PC at age 56
RALP on 2/16
Implant on 6/26/2017 Doctor Tariq Hakky
Coloplast Titan OTR, 22cm with 1 cm RTE

roninhouston
Posts: 254
Joined: Tue Mar 03, 2015 2:25 pm
Location: Houston

Re: Insurance Woes

Postby roninhouston » Fri Sep 01, 2017 10:13 pm

This is a frequent discussion on FT. Do a search and you will find enough ridden to help you.

BTW Blue Cross Blue Shield paid for all of mine but a small co-pay. Your search should find what I have written on how I got a BCBS approval.
Bionic with AMS CX on August 14, 2015. Inflated September 15th by Dr. Robert Cornell.
Was 69 with VL
. Pre-Op VED Protocol Therapy and Post-Op VED Protocol Therapy: Pre-Op length by 6th month.


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