Implant Bust! Desperate For Advice!

[jerseyhulk]

Hello everyone. I am in desperate need for advice. I has implanted with the AMS 700 LGX in 2015. Everything went perfect and my surgeon was one of the best. I only have great things to say about him. Anyway, Sunday night I was cycling my pump and I usually leave it inflated for about 20 to 30 minutes. While lying in bed I felt and heard a pop in my penis. While feeling around I noticed some bubbly crunchy feeling around one of the cylinders. I know I must have blown out one of the cylinders on my implant. The implant is no longer functional and when I attempt to inflate it all I hear is a loud squishy sound and the ball stays depressed. It was so professionally done and worked great and the results was more than satisfying. I refuse to see any other doctor but the one who originally implanted me.
My problem is that I no longer have the original insurance that covered the surgery. My insurance now is crap and I know they will not cover me. I do qualify for a special enrollment period and have a few different options for insurance but not the original one I used for the initial procedure. Is there anyway I can find out who will cover my revision without raising any red flags? I know they would deny me if they knew I needed a surgery. Would a secondary gap insurance cover the costs? I have not been seen by my physician yet because I don't want them to consider it to be a preexisting condition. These insurance companies look at any reason to deny you coverage. I have been slowly piecing my life back together from a bad motorcycle accident that destroyed by finances. I am in no means able to pay out of pocket. Anybody with some insurance knowledge please help, this language is very Greek to me.
One last thing, am I able to use a VED to keep my length and girth until I can get a revision? I have a broken, busted implant and no way of inflating it or getting an erection. I don't want to atrophy, I had great results. I know it will potentially be months or possibly over a year till I can get implanted again. Hopefully it don't take that long but the situation looks very bad right now. I really need help. Please help me.

[544kenmatt]

I assume that you have medicare. From what I can see, Medicare should cover replacement of your prosthesis due to breakage. If you have a Medicare Advantage plan, you can call them or other plans available in your area to see if it will be covered. The procedure code is CPT54411. You have a special enrollment period until the end of March but keep in mind that, if you change, the start date of the new plan would be July 1st.
You would be responsible for copays, deductibles or coinsurance depending on your plan. Your surgeon may have to submit information that the procedure is medically necessary.
Keep in mind that Medicare Advantage plans must cover everything that Original Medicare covers. As you said, medigap plans, which you can only buy if you return to Original Medicare, may delay your coverage for pre existing conditions depending on what state you live in.
You can call your surgeon's billing dept to find out coverage and you can also call your State or county SHIP office for any information about Medicare coverage.

Hope this helps and good luck.
Ken

[jerseyhulk]

Thanks for you reply kenmatt
Unfortunately I do not have Medicare. I was implanted at 33 and I am now 37 years old. When I was implanted I had UHC. I no longer have that insurance anymore. I am covered by my employer and their insurance excludes penile implants. Not sure what to do at this point. The situation seems really hopeless. I will have to probably pay out of pocket and it will take a very long time to save up that money. Anyone have any suggestions or advice? Has anyone heard of using a VED on a busted implant to prevent atrophy?

[FMLFML85]

deleted

[Agfa13]

Holy shit...10 year guarantee on a surgery, or you mean the prosthesis??
If its the surgery, where is this surgeon? Will save a boatload of $$$:)!