Can Medicare Pay for an Implant?

The final frontier. Deciding when, if and how.
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alterr
Posts: 176
Joined: Fri Oct 18, 2013 4:10 am

Can Medicare Pay for an Implant?

Postby alterr » Mon Mar 12, 2018 11:35 pm

I'm in my 40s and was informed that I'm eligible for Medicare (strange but true). Presently I got Medicaid bundled with Fidelis and live in NYC. Can Medicare pay for an implant? If so which Medicare plan does pay for it, A or B?
ED since 1996. Peyronies in 2012. PRP in 2013 and 2017. Dr. Brock, urology, NC, USA. Cialis and Viagra stopped working since 10/2017. Haven't been on Trimix since 3/2016. Will consider injecting it again. Will be prescribed testosterone injections soon.

ThePlumber1964
Posts: 783
Joined: Sat Oct 15, 2016 10:03 pm
Location: Orlando, FL. USA

Re: Can Medicare Pay for an Implant?

Postby ThePlumber1964 » Tue Mar 13, 2018 12:01 am

The procedure is covered by Medicare.
54 years old, happily married for 30 years to a beautiful & outstanding lady. Onset ED at 49. Finally fixed on 11/08/2017 by the master Dr. Eid with a Titan XL 26, no RTEs! Previously had 3 AMS implants (LGX & CX), all botched.

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

Re: Can Medicare Pay for an Implant?

Postby Anonymous3 » Tue Mar 13, 2018 4:41 am

Medicare authorized for mine was 13k they paid 10k. If you are on disability then 2 years after approvial you get medicare. I was medical retired at 45.

Larry10625

Re: Can Medicare Pay for an Implant?

Postby Larry10625 » Tue Mar 13, 2018 7:48 am

alterr wrote:I'm in my 40s and was informed that I'm eligible for Medicare (strange but true). Presently I got Medicaid bundled with Fidelis and live in NYC. Can Medicare pay for an implant? If so which Medicare plan does pay for it, A or B?



You just have to locate a doctor that accepts it. :)

Larry

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

Re: Can Medicare Pay for an Implant?

Postby Anonymous3 » Tue Mar 13, 2018 8:38 am

Larry10625 wrote:
alterr wrote:I'm in my 40s and was informed that I'm eligible for Medicare (strange but true). Presently I got Medicaid bundled with Fidelis and live in NYC. Can Medicare pay for an implant? If so which Medicare plan does pay for it, A or B?



You just have to locate a doctor that accepts it. :)

Larry


Larry
down here we have self pay, private insurance 2 government programs. Most people that have Medicare also have private supplemental insurance

Dr accepting Medicare ( federal) is not hard. Medicaid( state) on the other hand is hard.

Larry10625

Re: Can Medicare Pay for an Implant?

Postby Larry10625 » Tue Mar 13, 2018 9:42 am

hturner12 wrote:
Larry10625 wrote:
alterr wrote:I'm in my 40s and was informed that I'm eligible for Medicare (strange but true). Presently I got Medicaid bundled with Fidelis and live in NYC. Can Medicare pay for an implant? If so which Medicare plan does pay for it, A or B?



You just have to locate a doctor that accepts it. :)

Larry


Larry
down here we have self pay, private insurance 2 government programs. Most people that have Medicare also have private supplemental insurance

Dr accepting Medicare ( federal) is not hard. Medicaid( state) on the other hand is hard.



Oh, ok, I read here from a few guys looking for a surgeon that some that they had contacted said the didn't accept medicare... :)

Larry

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

Re: Can Medicare Pay for an Implant?

Postby Anonymous3 » Tue Mar 13, 2018 9:53 am

Larry10625 wrote:
hturner12 wrote:
Larry10625 wrote:

You just have to locate a doctor that accepts it. :)

Larry


Larry
down here we have self pay, private insurance 2 government programs. Most people that have Medicare also have private supplemental insurance

Dr accepting Medicare ( federal) is not hard. Medicaid( state) on the other hand is hard.



Oh, ok, I read here from a few guys looking for a surgeon that some that they had contacted said the didn't accept medicare... :)

Larry

Here my case. The Dr billed 70k. private pay who knows what bill would have been. Private insurance would have been some amount less depending on agreement. Medicare said you can only charge 13k they payed 80% of that Me or secondary insurance (if they cover) which in my case found out afterthe fact they did not the balance of 2900 is what due to dr. Medicaid would gave paid even less

Larry10625

Re: Can Medicare Pay for an Implant?

Postby Larry10625 » Tue Mar 13, 2018 10:10 am

hturner12 wrote:
Larry10625 wrote:
hturner12 wrote:
Larry
down here we have self pay, private insurance 2 government programs. Most people that have Medicare also have private supplemental insurance

Dr accepting Medicare ( federal) is not hard. Medicaid( state) on the other hand is hard.



Oh, ok, I read here from a few guys looking for a surgeon that some that they had contacted said the didn't accept medicare... :)

Larry

Here my case. The Dr billed 70k. private pay who knows what bill would have been. Private insurance would have been some amount less depending on agreement. Medicare said you can only charge 13k they payed 80% of that Me or secondary insurance (if they cover) which in my case found out afterthe fact they did not the balance of 2900 is what due to dr. Medicaid would gave paid even less



OK then... :) I am so glad I live in Ontario, Canada. I have no idea how much it cost and I don't care. I had supplemental insurance that bumped me up from semi-private room to private... other than that, provincial insurance paid for everything else. Our doctors here don't get paid anywhere near what they make in the US, that's why about a decade ago several family doctors moved to the US leaving SEVERAL patients without a family doctor. Our municipality decided to pay for the education of 10 new family doctors in exchange for a minimum of 10 years in practice here in Belleville. It worked like a charm. :)

Larry

Larry

Xomanow
Posts: 403
Joined: Mon Dec 14, 2015 9:03 pm

Re: Can Medicare Pay for an Implant?

Postby Xomanow » Tue Mar 13, 2018 11:43 am

Dr. Eid accepts medicare.....I want to thank socialism for my new dick......
Implanted Jan 4 2017 by Dr. Eid - 70 yo and single...ED gradually over 15 yrs...tired of pills, injections, cock rings....happy with my choice and results. Titan OTR - one 20cm cylinder - one 20cm+1 RTE...."got a rocket in my pocket"....

oldbeek
Posts: 2454
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Can Medicare Pay for an Implant?

Postby oldbeek » Wed Mar 14, 2018 1:55 am

In my area CA. the going rate that some advertise is 20k. If medicare only allows $13,000.00, I see why in demand Drs do not take medicare.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20


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