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Re: Insurance approval and cost

Posted: Mon Feb 25, 2019 1:40 pm
by George03
I have Aetna also. The doc's office said was approved, then got a bill 6 months after procedure for over $4000, which is more than my deductible. Doc's office said they are filing an appeal, so see how that shakes out. I am not sure why in this day and time, it takes 6 months are longer to receive all the bills, and why a close estimate of costs can't be provided.

Re: Insurance approval and cost

Posted: Mon Feb 25, 2019 3:01 pm
by Lost Sheep
Robert51 wrote:What if you havemedicare and va

VA does perform implant surgeries. Dr. Kramer does VA work. My V.A. would not send me to Baltimore and the geographic hurdles for me to have it done there were considerable, but medically were not insurmountable. But my Alaska VA would have sent me to Seattle for Dr. Ostrowski to perform the surgery (he is also highly qualified).

In the end, Dr. Shaw dropped into my lap (pun intended) and I had the implant performed at the military hospital (cooperative sharing with the V.A.) here in Anchorage. (Joint Base Elmendorf-Richardson, JBER) to my great satisfaction.

My cost? zero.

Re: Insurance approval and cost

Posted: Mon Feb 25, 2019 8:15 pm
by SW0110
I have a deductible and a copay. certain procedures the copay is more. Implant is a 15 % copay. We also have a family deductible as well. Max out of pocket for me each year is 10,000. So I pay 15 % of costs pus copay up to a yearly max of the 10 grand. Confusing huh,

Re: Insurance approval and cost

Posted: Sat Mar 02, 2019 11:57 pm
by Robert66
Lost Sheep wrote:
Robert51 wrote:What if you havemedicare and va

VA does perform implant surgeries. Dr. Kramer does VA work. My V.A. would not send me to Baltimore and the geographic hurdles for me to have it done there were considerable, but medically were not insurmountable. But my Alaska VA would have sent me to Seattle for Dr. Ostrowski to perform the surgery (he is also highly qualified).

In the end, Dr. Shaw dropped into my lap (pun intended) and I had the implant performed at the military hospital (cooperative sharing with the V.A.) here in Anchorage. (Joint Base Elmendorf-Richardson, JBER) to my great satisfaction.

My cost? zero.




WHAT ELSE WILL VA COVER I HAVE A DISABILITY RATING FOR LOSE OF UNIT. SO FAR ALL THEY GIVE IS 2 VIRAGA A MONTH WHICH DONT WORK WONDER IF THEY WILL GIVE TRIMIX OR AT LEAST WRITE THE SCRIPT

Re: Insurance approval and cost

Posted: Sun Mar 03, 2019 5:52 am
by bobsteel
Robert51 wrote:
Lost Sheep wrote:
Robert51 wrote:What if you havemedicare and va

VA does perform implant surgeries. Dr. Kramer does VA work. My V.A. would not send me to Baltimore and the geographic hurdles for me to have it done there were considerable, but medically were not insurmountable. But my Alaska VA would have sent me to Seattle for Dr. Ostrowski to perform the surgery (he is also highly qualified).

In the end, Dr. Shaw dropped into my lap (pun intended) and I had the implant performed at the military hospital (cooperative sharing with the V.A.) here in Anchorage. (Joint Base Elmendorf-Richardson, JBER) to my great satisfaction.

My cost? zero.




WHAT ELSE WILL VA COVER I HAVE A DISABILITY RATING FOR LOSE OF UNIT. SO FAR ALL THEY GIVE IS 2 VIRAGA A MONTH WHICH DONT WORK WONDER IF THEY WILL GIVE TRIMIX OR AT LEAST WRITE THE SCRIPT


For me they covered a couple viagra per month. Muse a few per month. They offered caverject no tri-mix. Implant was free for me.

Re: Insurance approval and cost

Posted: Sun Mar 03, 2019 8:00 pm
by jmack858
I'm retired Military with Tricare Prime. I paid a $30 co-pay for all my Dr visit to urologist. For Implant and 2 day hospital stay I paid Zero.$$

Re: Insurance approval and cost

Posted: Sun Mar 03, 2019 9:31 pm
by Robert66
bobsteel wrote:
Robert51 wrote:
Lost Sheep wrote:VA does perform implant surgeries. Dr. Kramer does VA work. My V.A. would not send me to Baltimore and the geographic hurdles for me to have it done there were considerable, but medically were not insurmountable. But my Alaska VA would have sent me to Seattle for Dr. Ostrowski to perform the surgery (he is also highly qualified).

In the end, Dr. Shaw dropped into my lap (pun intended) and I had the implant performed at the military hospital (cooperative sharing with the V.A.) here in Anchorage. (Joint Base Elmendorf-Richardson, JBER) to my great satisfaction.

My cost? zero.




WHAT ELSE WILL VA COVER I HAVE A DISABILITY RATING FOR LOSE OF UNIT. SO FAR ALL THEY GIVE IS 2 VIRAGA A MONTH WHICH DONT WORK WONDER IF THEY WILL GIVE TRIMIX OR AT LEAST WRITE THE SCRIPT


For me they covered a couple viagra per month. Muse a few per month. They offered caverject no tri-mix. Implant was free for me.[/quote



DID YOU ASK FOR THE CAVERJET AND MUSE I HAVE A YEARLY VISIT COMING UP AND WILL SEE MY PRIMARY DOC

Re: Insurance approval and cost

Posted: Wed Aug 12, 2020 7:50 pm
by Lost Sheep
Robert66 wrote:
Lost Sheep wrote:
Robert51 wrote:What if you havemedicare and va

VA does perform implant surgeries. Dr. Kramer does VA work. My V.A. would not send me to Baltimore and the geographic hurdles for me to have it done there were considerable, but medically were not insurmountable. But my Alaska VA would have sent me to Seattle for Dr. Ostrowski to perform the surgery (he is also highly qualified).

In the end, Dr. Shaw dropped into my lap (pun intended) and I had the implant performed at the military hospital (cooperative sharing with the V.A.) here in Anchorage. (Joint Base Elmendorf-Richardson, JBER) to my great satisfaction.

My cost? zero.




WHAT ELSE WILL VA COVER I HAVE A DISABILITY RATING FOR LOSE OF UNIT. SO FAR ALL THEY GIVE IS 2 VIRAGA A MONTH WHICH DONT WORK WONDER IF THEY WILL GIVE TRIMIX OR AT LEAST WRITE THE SCRIPT

I educated myself to the point where my primary care physician remarked that I knew more about erectile function and dysfunction and treatments than he did. I made myself a part of the medical care team and he accepted my inputs. I had no problem getting his recommendation for a urological surgeon outside the VA and from there, implantation was the prime option. Summary advice: Get each member of your medical care team on board with whatever you want to do.

Re: Insurance approval and cost

Posted: Wed Aug 12, 2020 7:55 pm
by Old Guy
Implants are not cheap, for sure. After the office cleared the cost with my insurance (UHC) my co-pay was still almost $3,000 plus the doc for $350. Surgery in Nov, 3 months later I get a bill from the uro office for $14,000. Billing calls me, update my info for the new year with my insurance. If the surgery was last year, why does it matter this year? Long story short, updated info with insurance and bill got paid. Whew!