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 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!
Insurance Woes
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- Posts: 3
- Joined: Sat Jul 01, 2017 10:24 am
- Location: Dallas TX
Re: Insurance Woes
Thank you so much HTurner12, I'll check them out!
Is this provider a group you're familiar with?
Thanks again,
Phil
Is this provider a group you're familiar with?
Thanks again,
Phil
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- Posts: 1307
- Joined: Thu Aug 03, 2017 9:43 pm
Re: Insurance Woes
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
Re: Insurance Woes
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
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
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
Re: Insurance Woes
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.)
Re: Insurance Woes
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 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
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- Posts: 34
- Joined: Mon Aug 14, 2017 11:11 pm
Re: Insurance Woes
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
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
RP July 2016
Gleason 3+4=7
Peyronies
AMS Implant March 2019
University Professor of History
Re: Insurance Woes
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
RALP on 2/16
Implant on 6/26/2017 Doctor Tariq Hakky
Coloplast Titan OTR, 22cm with 1 cm RTE
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- Posts: 254
- Joined: Tue Mar 03, 2015 2:25 pm
- Location: Houston
Re: Insurance Woes
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.
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.
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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