Any Insurance Better/Worse for ED Issues?

The final frontier. Deciding when, if and how.



jeb6294
Posts: 30
Joined: Tue Oct 13, 2020 6:05 am

Any Insurance Better/Worse for ED Issues?

Postby jeb6294 » Thu Oct 22, 2020 2:18 pm

The post about pre-approval got me wondering about people's experiences with health insurance coverage. I work for the Gov't and my insurance is through GEHA...basically just a fancy way of saying my coverage is through United Healthcare. The other day we got a postcard telling us that in 2021, GEHA's coverage was going to switch from United to Aetna. Working for the Gov't we get open season every November so I can change insurance plans, but then you're stuck with it until the next open season.

I'd be interested to see what kind of experiences people have had with getting implants covered by their health insurance. Does it seem like there are companies that are better or are there some that should be avoided?
Trimix VI (PAP/PHEN/PGE1) 29.4/1MG/10MCG

ViaSwiss
Posts: 632
Joined: Fri May 24, 2019 9:09 am

Re: Any Insurance Better/Worse for ED Issues?

Postby ViaSwiss » Fri Oct 23, 2020 12:08 pm

I've spoken to a lot of people about this, even the ones at Boston Science who deal with this.

Its less about the actually insurance company, and more about the specific plan you are on. If you plan covers the "sexual dysfunction" rider, then you are good. If it does not, then you are not good.
Age 37. Venous Leakage & Post Finasteride Syndrome (PFS) since age 18.
Original Implant | June 25, 2021 | 20cm Titan w 1.5cm & 1cm RTEs
Revision | November 16, 2021 | 26cm | Dr. Hakky

SW0110
Posts: 648
Joined: Sun Sep 02, 2018 6:15 pm
Location: Central Kentucky

Re: Any Insurance Better/Worse for ED Issues?

Postby SW0110 » Thu Oct 29, 2020 6:19 pm

BCBS govt retiree. No issues at all for titan implant, or its removal and putting ams back in.

Policy said something like covered for medical ed issues OR peyronies.
18 cm plus 1 rte titan installed March 2019. Revision March 2020 by Dr. Andrew Todd, Richmond KY. He replaced the titan with an AMS 700 LGX 18 cm cylinder plus 2 rte for 20 cm total length.

SW0110
Posts: 648
Joined: Sun Sep 02, 2018 6:15 pm
Location: Central Kentucky

Re: Any Insurance Better/Worse for ED Issues?

Postby SW0110 » Thu Oct 29, 2020 6:20 pm

Oh. Total out of pocket was about a 1000 on both.
18 cm plus 1 rte titan installed March 2019. Revision March 2020 by Dr. Andrew Todd, Richmond KY. He replaced the titan with an AMS 700 LGX 18 cm cylinder plus 2 rte for 20 cm total length.

Gt1956
Posts: 3190
Joined: Fri Apr 05, 2019 2:47 pm

Re: Any Insurance Better/Worse for ED Issues?

Postby Gt1956 » Thu Oct 29, 2020 6:50 pm

jeb6294 wrote:The post about pre-approval got me wondering about people's experiences with health insurance coverage. I work for the Gov't and my insurance is through GEHA...basically just a fancy way of saying my coverage is through United Healthcare. The other day we got a postcard telling us that in 2021, GEHA's coverage was going to switch from United to Aetna. Working for the Gov't we get open season every November so I can change insurance plans, but then you're stuck with it until the next open season.

I'd be interested to see what kind of experiences people have had with getting implants covered by their health insurance. Does it seem like there are companies that are better or are there some that should be avoided?

My best suggestion is to get a hold of your doctors insurance person. Give them the plans that you can choose from. Let them tell you who is either the best paying or easiest to deal with. They should know. They deal with the companies frequently. Anything else might just boil down to an opinion.
69yo, HBP @ 40, high triglycerides @ 45. Phimosis @ 57. Type 2 @ 60. Dr. William Brant May 1, 2023 CX 21cm w/no rte's penoscrotal 6" girth @ 6 months.


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