Shot down by Insurance
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- Posts: 397
- Joined: Wed Jan 01, 2014 8:48 pm
Re: Shot down by Insurance
I was 100% covered by medicare/Kaiser. My personal urologist did the procedure. I have no complaints.
ocitgo (Bob F), Bremerton, WA
Implanted 11/13/2017 AMS 700LGX 15 cm, leak, 3 cm rear tip
Implanted 06/17/2019 AMS 700LGX 18 cm, 1.5 cm rear tip
Implanted 11/13/2017 AMS 700LGX 15 cm, leak, 3 cm rear tip
Implanted 06/17/2019 AMS 700LGX 18 cm, 1.5 cm rear tip
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- Posts: 54
- Joined: Thu Aug 30, 2018 1:18 am
- Location: Worldwide
Re: Shot down by Insurance
Yeah I have Medicare I think it will leave 3 k $ but pre approved and then they do shit for insurance u pay arms and legs for shit that pisses me off.
54 yo married 24 years. Implant surgery done on 8/21/2018 performed by Dr Miller of Urologic Specialist in Tulsa. AMS MS 700 prosthetic
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- Posts: 3027
- Joined: Sun Oct 12, 2014 8:04 pm
Re: Shot down by Insurance
53@MVA wrote:UMR issue ; basically they denied the pre approved claim on the basis that some handbook that employee benefits /Hr has wording that the surgery is not covered. Something to do with sexual performance improvement. So now I have 64k hospital bill hangin plus my Dr and the Anesthesiologist @ 2.5k each. Fuck Em! BTW HR didn't have the handbook and said they will email it to me lol!
If you had peronies, you need to use painful intercourse as a cause. Treatment was for pain due to a bend, not sexual performance.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.
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- Posts: 11
- Joined: Sun Aug 04, 2019 4:24 am
Re: Shot down by Insurance
if anyone is a veteran, the VA will do it for FREE. 

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- Posts: 6174
- Joined: Mon Jul 04, 2016 11:16 pm
Re: Shot down by Insurance
tobers wrote:if anyone is a veteran, the VA will do it for FREE.
As a disable veteran, I was able to get an implant. I am not sure if a veteran did not have any service-connected disability if the VA would.
But it would not hurt to ask.
Advice:
Get your primary care provider on board. That is key to getting authorization to proceed with the urological specialist.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter
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