Peyronies Society Forums

Please login or register.

Login with username, password and session length
Advanced search  

News:

ALL Members PLEASE Add a Signature line with age, history etc
PROFILE -> FORUM PROFILE -> SIGNATURE
More instructions here -> Signature Line - History - Peyronies Society Forums

Pages: [1]   Go Down

Author Topic: Peyronies: new insurer using terms "open" and "closed" column - definitions?  (Read 172 times)

0 Members and 1 Guest are viewing this topic.

john.doe.550

  • Voting Member
  • **
  • Country: us
  • Offline Offline
  • Gender: Male
  • Posts: 26

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.
 
   
Logged
Age: 61;  Peyronies Disease diagnoses: MAR 2019;  Onset: Immediate & severe;  Treatment: Xiaflex, APR 2019 to present, slowly improving w/ much more to go

Jamie-jimbo

  • PDS Newbie
  • *
  • Country: gb
  • Offline Offline
  • Gender: Male
  • Posts: 3

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.
J.
Logged
Pages: [1]   Go Up
 

Related Topics

  Subject / Started by Replies Last post
8 Replies
6161 Views
Last post June 07, 2012, 10:21:36 PM
by MtnSurf
2 Replies
1279 Views
Last post January 21, 2013, 05:27:22 PM
by james1947
2 Replies
913 Views
Last post April 20, 2018, 09:38:23 AM
by Monty