VEDs and Insurance Coverage

Specific talk about pumps: Questions, hints, recommendations, etc.
dtwarren1942
Posts: 1905
Joined: Wed Oct 27, 2010 7:58 pm
Location: Jersey Shore

VEDs and Insurance Coverage

Postby dtwarren1942 » Wed Sep 21, 2016 5:34 pm

The handle on my Agusta Medical VED pump broke. I called AMS to inquire about a replacement. I was advised that Medicare stopped covering VEDs last July.

I called United Health Care (my supplemental insurance provider) and was advised that VEDs were still on their approved Durable Medical Device list.

Has anyone experienced receiving an amazing private health insurance coverage on their penis pumps since July, 2015?
Last edited by dtwarren1942 on Wed Sep 21, 2016 6:43 pm, edited 1 time in total.
Age 81
Diabetic
Pumping
Started Trimix injections 8/'11

dg_moore
Posts: 1885
Joined: Mon Apr 25, 2011 9:34 am

Re: VEDs and Insurance Coverage

Postby dg_moore » Wed Sep 21, 2016 6:07 pm

That's interesting re Medicare vs. UHC. In general, the supplemental insurers will not pay for anything that does not qualify for Medicare coverage (such as acupuncture, for example), but maybe the rules are different for DME.
Dave, 80, Maryland - Implant (Titan) 2008 by Dr. Andrew Kramer (failed Sept 2020) - never used due to a stroke that, among other things, ended my sex life.
Life is not the way it's supposed to be, it's the way it is.

dtwarren1942
Posts: 1905
Joined: Wed Oct 27, 2010 7:58 pm
Location: Jersey Shore

Re: VEDs and Insurance Coverage

Postby dtwarren1942 » Wed Sep 21, 2016 10:56 pm

I have a continuous glucose monitor which is not covered by Medicare, but is covered by UHC. Hopefully, the same will be true of the VED.

I believe Medicare covers an implant (let me know if I am wrong) which costs thousands, but will not cover a VED which costs hundreds. I wonder what the logic is.
Age 81
Diabetic
Pumping
Started Trimix injections 8/'11

ocitgo
Posts: 397
Joined: Wed Jan 01, 2014 8:48 pm
Contact:

Re: VEDs and Insurance Coverage

Postby ocitgo » Thu Sep 22, 2016 5:23 pm

If you are a vet the VA covers them. There is still empathy for veterans. I got one the very last month that Medicare covered them. It is a high end $500 model. It is far better than the sex store pumps. It is funny that Medicare covers implants that cost 100 times more than a pump.
ocitgo (Bob F), Bremerton, WA
Implanted 11/13/2017 AMS 700LGX 15 cm, leak, 3 cm rear tip
Implanted 06/17/2019 AMS 700LGX 18 cm, 1.5 cm rear tip

dtwarren1942
Posts: 1905
Joined: Wed Oct 27, 2010 7:58 pm
Location: Jersey Shore

Re: VEDs and Insurance Coverage

Postby dtwarren1942 » Fri Sep 30, 2016 2:24 pm

I called AMS and ordered the Soma ED negative pressure device aka penis pump ($110 for pump only) and will submit a claim to UHC with a copy of doc's prescription and see what happens.

Note that the price of the device is significantly (about $300) less than when it was covered by Medicare.
Age 81
Diabetic
Pumping
Started Trimix injections 8/'11


Return to “Pumps (Vacuum Erection Device)”

Who is online

Users browsing this forum: No registered users and 25 guests