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Welcome to J Francois Eid, MD - Directly answering member questions in the "Medical Professionals" section below the Treatment boards.,17819.0.html

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Author Topic: Peyronies: new insurer using terms "open" and "closed" column - definitions?  (Read 820 times)

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If a forum member can provide definitions for these Peyronie's disease-related terms, then please know it will be appreciated by me:

"closed column"
"open column"
2020 brought new employment and new insurer.  New insurer brought new fight for coverage. They don't want to cover Xiaflex treatment.  There was fight with old insurer, too, but they got on board and I received 6 Xiaflex treatment rounds in 2019.  The treatments are producing improvement, albeit slowly.

New insurer limits the quantity of treatment cycles based on whether patient has "closed column" or "open column" (4 treatment cycles v. 8 treatment cycles).  As of yet, the insurer has not defined these terms related to "column."  It's not possible to ask my doctor, because he is on a well deserved vacation.  It's also not been possible to find definitions on the internet or in our forum.  Hence, the request above.
Age: 63;  Peyronies Disease diagnoses: MAR 2019;  Onset: Immediate & severe;  Treatment: Xiaflex, APR 2019 to early 2021, slow & steady improvement w/ notable Xiaflex improvement through 2021. Incisional corporoplasty scheduled for late 2022.


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Don’t know the answer to that one. My insurer covered the Xiaflex then when that didn’t work they chose not to cover “sexual treatment” or Where there was a “choice” when specialist surgeon recommended surgery.
I was furious and quite distressed - 120 degree upward curve pressing against my abdomen didnt seem like a choice to me - and why could they cover xaiflex and not the surgery?
Fortunately I was able to proceeded anyway but. have appealed their decision.

Columns were never mentioned so sorry I’m no help there. Hope you get sorted and covered.
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