Is it possible to buy health insurance with the plan to do surgery?

The final frontier. Deciding when, if and how.
Asdefxx
Posts: 21
Joined: Mon Aug 19, 2024 12:17 pm

Is it possible to buy health insurance with the plan to do surgery?

Postby Asdefxx » Wed Jan 21, 2026 10:31 am

I'm not sure if this is realistic, but I thought I'd ask. I may be in the awkward position where I'll need to buy insurance in the private marketplace to cover me for the rest of the year.

I've been wanting an implant for a while, even saw a urologist for it already. So this gave me the idea of killing two birds and one stone and specifically choosing an insurer that is the most willing about approving implants, and then finally getting mine done.

Is this realistic though? Can I just choose whatever insurer I feel like and buy a plan off them? I'm in Pittsburgh, and I went on pennie.com and typed my zip code and it only gave me two options, Highmark and UPMC Health Plan. Surprised how cheap it was though, $300/month, I was expecting more given all the buzz about the skyrocketing healthcare costs.

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GoodWood
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Joined: Sun Jun 16, 2019 1:07 pm

Re: Is it possible to buy health insurance with the plan to do surgery?

Postby GoodWood » Wed Jan 21, 2026 11:09 am

You’d need to read the policy and its exclusions carefully.

Many insurance policies have exclusion causes that explicitly state that they don’t cover treatment for sexual dysfunction.

Eliminating preexisting condition clauses was a core component of the ACA (Obamacare) so you should be OK there.

So, contact both companies and ask for a copy of the plan including their exclusion clauses.
57yo, NYC. ED started at 40. Pills, then shots for 10 years. 24cm Coloplast Titan XL w/classic pump by Dr Eid 3/25/2025. Will meet for show & tell.
Implant journal: [url] viewtopic.php?f=6&t=26225[/url]

edjohn
Posts: 185
Joined: Mon Aug 14, 2023 11:10 am

Re: Is it possible to buy health insurance with the plan to do surgery?

Postby edjohn » Wed Jan 21, 2026 11:26 am

And get the opinion of your favorite surgeon's office. When I asked about BCBS my surgeon's rep said state by state it isn't guaranteed but the federal employee plan should be good to go. They know.
Oct 7, 2025 - Coloplast Titan XL - Touch pump - 26cm - 0.5cm RTE with Jonathan Clavell. Still sorting out TRT; plan to try a "modified natty" approach without injections.

UpNorth
Posts: 399
Joined: Wed Apr 30, 2025 3:40 pm

Re: Is it possible to buy health insurance with the plan to do surgery?

Postby UpNorth » Wed Jan 21, 2026 7:47 pm

Asdefxx wrote:I'm not sure if this is realistic, but I thought I'd ask. I may be in the awkward position where I'll need to buy insurance in the private marketplace to cover me for the rest of the year.

I've been wanting an implant for a while, even saw a urologist for it already. So this gave me the idea of killing two birds and one stone and specifically choosing an insurer that is the most willing about approving implants, and then finally getting mine done.

Is this realistic though? Can I just choose whatever insurer I feel like and buy a plan off them? I'm in Pittsburgh, and I went on pennie.com and typed my zip code and it only gave me two options, Highmark and UPMC Health Plan. Surprised how cheap it was though, $300/month, I was expecting more given all the buzz about the skyrocketing healthcare costs.


I’m just north of you and mine covered no questions asked.

We have since changed plans and I will try and find a copy of BCBS plan. I did look for it one other time without success so I will ask the wife to look around.
62. ? Asked. What is your sex life like? I’m a Romantic She’s a Nymphomaniac.
Coloplast Titan IPP
NYC by The Man The Myth The Legend Dr Eid
Penoscrotal W/ Scrotoplasty
Friday the 13th of June, 2025
Ed due to chronic pain, arterial insufiency, etc.


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