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gosh, I am so sorry to hear about this. See if you can beg and plead with the front office at kramer's to see if they can give you a special "financial hardship price" since you have come so far and are actually on the schedule.

also, it is my general sense that insurance will cover complications of surgery since those are true medical conditions (in other words, if you get infection, all that treatment will likely be covered since it is no linger considered a cosmetic or elective procedure)

Sorry Oregon, so disappointing.

hey not sure who your insurance company is but when I first started seeing my doc my insurance company
would not pay he stayed on them an let them know I really needed this an now they have agreed to pay full cost as long as i pay my deductible which is $1500 , I am scheduled to be implanted on the 9th of this month

I was in the same boat as you recently. It postponed my operation till, IDK when.

Dr. Kampan near San Fran is who I was going to go with. He is $20k out of pocket which is a few grand less than the other guys who are also A level surgeons.

My personal urologist can do this surgery for $12,500 out of pocket. He has done a lot of them and uses Titans. PM me and I can tell you a little bit more. I wasn't going to use him because my city is not a huge metro so I was worried about knowing some of the nurses in the hospital or clinic the surgery would be in.

There are other options to, I posted a huge thread here once about out of pocket.

I can also put you in contact with a guy at AMS who is doing a program to help finance. Otherwise you best bet is a personal loan.

I wrote and heard from Dr. Meyers a urologist who works with Coloplast a lot in the Portland area. His cost for everything is $17,000 which is for his fee, facility, anesthesia and 3 months post op visits in his office. What decision do I go with? The more expensive Kramer at $24,000 but he's also on other side of country so if any complications it would be difficult to get there to be seen, or the local guy who is 45 min drive away who is cheaper and can get to for post op care easily but have no idea his expertise or how he may handle my unique situation with fillers and testicular implants getting in the way. Oh and I need to decide by tomorrow for Dr. Kramers office if I'm going to keep my already scheduled surgery for next week. Anybody have advice?

OregonStrong wrote:I wrote and heard from Dr. Meyers a urologist who works with Coloplast a lot in the Portland area. His cost for everything is $17,000 which is for his fee, facility, anesthesia and 3 months post op visits in his office. What decision do I go with? The more expensive Kramer at $24,000 but he's also on other side of country so if any complications it would be difficult to get there to be seen, or the local guy who is 45 min drive away who is cheaper and can get to for post op care easily but have no idea his expertise or how he may handle my unique situation with fillers and testicular implants getting in the way. Oh and I need to decide by tomorrow for Dr. Kramers office if I'm going to keep my already scheduled surgery for next week. Anybody have advice?

Check out Dr. Meyers on https://healthgrades.com

I just did a brief check of the stats for Dr. Stanley Meyers in Portland and found "HIGH" treatment frequency for Penile implants - it says he performs them more than 85% of his peers. Under "Complex Penile Surgery" he rates "VERY HIGH" with the notes that he performs them more than 89% of his peers.

Only you can decide who to see but perhaps seeing the stats and reviews can help you to make an informed decision.

OregonStrong wrote:but have no idea his expertise or how he may handle my unique situation with fillers and testicular implants getting in the way

Also, don't hesitate to ask questions. You should ask him how many implants he has performed in his practice and how many per year or per month he performs. Ask him what his infection rate is and ask him if he has any patients whom he implanted that would be willing to talk with you.

All of these things I did not do with my doctor and I lucked out for the most part but I really should have asked them (and known to ask them).

JUST MY OPINION, but just thinking of the hoops, not to mention extra steps (hotel, food, caretaking, etc), will make me want to go with the more practical choice. 85% is high to me, very good, the 15% is YOU and your body.

I am actually slated for surgery with Dr Stanley Myers on Wednesday, August 5th. Most of his surgeries are done in East Pavillion (outpatient) of St. Vincent's Providence Hospital. I am very confident that he will give me a good outcome. I trust on his confidence level, him doing a lot of IPP but his choice is Titan only although he can do AMS. He is also a Center of Excellence for Titan internal penile implants. I have a BCBS of Nebraska which authorized my surgery and came to a surprise to the team of Dr Myers and outpatient surgical center. Well, I had PD and so I think this really helped my case to get the implant. Dr Myers trained with Dr Wilson, Eid and Perito as well but he wants to do a penoscrotal approach for me.

OregonStrong wrote:I wrote and heard from Dr. Meyers a urologist who works with Coloplast a lot in the Portland area. His cost for everything is $17,000 which is for his fee, facility, anesthesia and 3 months post op visits in his office. What decision do I go with? The more expensive Kramer at $24,000 but he's also on other side of country so if any complications it would be difficult to get there to be seen, or the local guy who is 45 min drive away who is cheaper and can get to for post op care easily but have no idea his expertise or how he may handle my unique situation with fillers and testicular implants getting in the way. Oh and I need to decide by tomorrow for Dr. Kramers office if I'm going to keep my already scheduled surgery for next week. Anybody have advice?

I am actually slated for surgery with Dr Stanley Myers on Wednesday, August 5th. Most of his surgeries are done in East Pavillion (outpatient) of St. Vincent's Providence Hospital. I am very confident that he will give me a good outcome. I trust on his confidence level, him doing a lot of IPP but his choice is Titan only although he can do AMS. He is also a Center of Excellence for Titan internal penile implants. I have a BCBS of Nebraska which authorized my surgery and came to a surprise to the team of Dr Myers and outpatient surgical center. Well, I had PD and so I think this really helped my case to get the implant. Dr Myers trained with Dr Wilson, Eid and Perito as well but he wants to do a penoscrotal approach for me.

I also talked to his PA and found out that he does penile implants surgeries "a lot". Last Friday during the pre-operative consult, he quoted that he just took the drain out of atleast a couple of his patients that day. Which means, he places drains to prevent too much swelling post op and he just did a penile implant surgery atleast a day or two before my appointment. During the appointment as well, he showed me photos of his "creations", and they look similar to the techniques I saw from Dr Eid (smaller incision) and does a median raphe. He is also doing touchless technique to prevent infection. Another thing is, he flushes the urethra first with antibiotics during surgery. You will start taking the antibiotics a day before your surgery (continue for 7 days) and IV antibiotics (day of surgery) too just to be sure. As for pain management, Vicodin is for moderate pain but you get Dilaudid for breakthrough pain. Colace for your stool softener and MOM if still constipated after 24 hours. Ibuprofen will start atleast two to three days after the surgery if you elect to cut down on your narcotic use and transition to NSAIDS type.

OregonStrong wrote:

Larryb8x8 wrote:Wrong wrong wrong you have testicular implants they will do anything for you. play your I card say you want to complete transexual change and I guarantee they'll be paying for your implant. Nothing against transsexual people but insurance people will jump right now because of the situation in America

I know you're being funny, but I am not going to be a dishonest person and lie about conditions to get things approved, even if others do it all the time, just would never feel right about myself doing something like that. I'll keep my fingers crossed that we can come up with some type of workaround. I do have a flexible spending account through work, but that is only going to get me up to $2700 total (max yearly contribution I can have by law), and I've already spent it for the year on other medical expenses, so would have to wait until next year to be able to use it again, but that barely eats into the total cost of this procedure.

I wonder if you could purchase a rider for your works insurance?