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pumpless_mtfckr wrote:I'm 42 with ED all of my life. Cialis worked 10% of the time and I want to move onto an implant.

I’m facing a dilemma and would appreciate your guidance. My Aetna insurance won’t cover penile implants, whether it’s a new procedure or a revision, and the base cost for an IPP is $22,000 out-of-pocket by some of the best surgeons recommended here. While I could use my Citi Visa credit card to cover the expenses, I'm concerned about the financial burden if I experience any device malfunctions and need further revision procedures down the line.

Given that situation, do you think it might be financially wise to choose a malleable for $16,000 until I turn 65 and become eligible for Medicare? At 65, I can get the IPP as Medicare covers this procedure. Malleables can't have mechanical malfunctions and may not require frequent revisions.

For malleable revisions until 65, I’ve considered traveling to India, where the total cost for surgery is $3,400 and travel (including round trip airline, lodging and food) would be $3000 max for a week's stay. I’ve been to India before, having hiked in the Himalayan foothills, so the country is not totally unfamiliar to me.

I’m curious if anyone else here has had a similar situation with a crappy insurance coverage and the financial strain of potentially not having the finances for further IPP surgeries.

What would your plan be in my shoes?

I’d really appreciate any advice or suggestions.

pumpless_mtfckr wrote:

Discovernew wrote:

pumpless_mtfckr wrote:I'm 42 with ED all of my life. Cialis worked 10% of the time and I want to move onto an implant.

I’m facing a dilemma and would appreciate your guidance. My Aetna insurance won’t cover penile implants, whether it’s a new procedure or a revision, and the base cost for an IPP is $22,000 out-of-pocket by some of the best surgeons recommended here. While I could use my Citi Visa credit card to cover the expenses, I'm concerned about the financial burden if I experience any device malfunctions and need further revision procedures down the line.

Given that situation, do you think it might be financially wise to choose a malleable for $16,000 until I turn 65 and become eligible for Medicare? At 65, I can get the IPP as Medicare covers this procedure. Malleables can't have mechanical malfunctions and may not require frequent revisions.

For malleable revisions until 65, I’ve considered traveling to India, where the total cost for surgery is $3,400 and travel (including round trip airline, lodging and food) would be $3000 max for a week's stay. I’ve been to India before, having hiked in the Himalayan foothills, so the country is not totally unfamiliar to me.

I’m curious if anyone else here has had a similar situation with a crappy insurance coverage and the financial strain of potentially not having the finances for further IPP surgeries.

What would your plan be in my shoes?

I’d really appreciate any advice or suggestions.

Why not Karaman in turkey? The whole thing costs like $8500 and it's with an AX implant which expands also in length. You can search "Karaman" and you will find a lot of posts.

Thank you, I'll look into it further. Is Dr. Karaman considered a high volume IPP or a high volume malleable surgeon? Including airfare, hotel, and other expenses, the total cost is around $12,000, which is double the price of getting a malleable in India. I can do it just the 1st time, but budgeting for revisions maybe out of the question for me.

pumpless_mtfckr wrote:

Discovernew wrote:He does IPP as far as i know

Thank you for the incredible advice. Based on your knowledge, is Dr. Karaman primarily a high volume IPP doctor, or is he more focused on malleables and can also perform an IPP if requested?

pumpless_mtfckr wrote:

Discovernew wrote:The ax is supposed to have a lifetime warranty. If you do need a revision, cost would probably be half (only need to pay for the hospital but not the implant)

That sounds quiet reasonable for me in a scenario of 1 IPP revision every decade until I become eligible for Medicare. I hadn’t thought about Rigicon's lifetime warranty before. Do you have any information on how many IPP procedures Dr. Karman performs annually?