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Author Topic: Medicare or Medicare advantage payments for implant  (Read 724 times)

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TonySa

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Medicare or Medicare advantage payments for implant
« on: March 31, 2019, 12:19:42 PM »

Article by coloplast which applies to AMS implants as well:
https://www.coloplastmenshealth.com/erectile-dysfunction/insurance/medicare/
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PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.

Stabler

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Re: Medicare or Medicare advantage payments for implant
« Reply #1 on: March 31, 2019, 12:44:32 PM »

This is a excellent resource. I like how it gives the code used for the surgery. this is helpful even for those who have regular/commercial ins plans.

Stabler
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Moderator since 2015- Missouri- I work in the medical field and have strong knowledge of insurance and how to obtain coverage for medication and other treatments. Being a woman I do not have Peyronies but you can ask me anything. I am happy to help.

Hawk

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Re: Medicare or Medicare advantage payments for implant
« Reply #2 on: March 31, 2019, 12:46:27 PM »

I have Medicare as my primary insurance and BCBS my secondary but it only picks up the difference IF Medicare pays.  Between the two of them, my implant did not cost me a cent.

(one exception, I did have to pay for the first consultation because I opted to do a video conference rather than an office visit.)
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Prostatectomy 2004, radiation 2009, currently 68 yrs old
After pills, injections, VED - Dr Eid, Titan 22cm implant 8/7/18
Hawk - Updated 10/27/18 - Peyronies Society Forums

TonySa

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Re: Medicare or Medicare advantage payments for implant
« Reply #3 on: April 04, 2019, 02:44:37 PM »

Secondary Medicare usually only pays after primary Medicare (either a copay-or extended services, such as extra hospital days).
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PxD 2 yrs 9/16.  Failed all treatment. 9/11/18: excision, grafting & implant Dr Karpman MtnView Ca, AMS CX 18cm + 3-1cm RTEs.
Pump failed.  2/11/20 Dr Karpman installed Titan 22cm +1cm RTE.
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