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Author Topic: I’m 24, have Medicaid, and need an implant. How do I get it covered?  (Read 269 times)

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Curbside

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Medicaid doesn’t want to help with Erectile Dysfunction, however they’ll do sex changes (crazy to me). How can I get it covered, what employers would cover this surgery? I’m about 9 months to a year out from surgery so I have time. Or is there anyway to deem it medically necessary for Medicaid?
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24. Erectile Dysfunction for 3 years, suspected accident when using cock ring for extended time w/o proper breaks. 2 possible minor fractures in recent 3 months with gf. cialis/viagra minimally effective. 70 curve up, 10 curve to the left. MRI neg. No Ultrasound yet

TonySa

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I’d start calling docs who do implants and ask if they accept Medicaid.

Also, you can get affordable health care insurance once you make over a certain amount each month.  It can be any job that doesn’t have health insurance.  Check the affordable health care website for how much income moves you out of Medicaid into purchasing (with subsidies) a plan through them.  If you make just over the minimum income, with subsidies it could be free.
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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.

TonySa

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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.

peter123

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Medicaid doesn’t want to help with Erectile Dysfunction, however they’ll do sex changes (crazy to me). How can I get it covered, what employers would cover this surgery? I’m about 9 months to a year out from surgery so I have time. Or is there anyway to deem it medically necessary for Medicaid?

the American healthcare system is utterly insane to me, moral equivalent of terrorism and certainly killed more than the latter
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Curbside

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So after finally asking the right questions I suppose, I believe that an implant might actually be covered for me by Medicaid (thank god). I’m still awaiting confirmation from a referral from my urologist, however I must stay in the state of Virginia. Are there any good implant surgeons in VA? How should I go about looking for one?

Also, thank you to everyone on this forum, this has been a roller coaster ride and you all have been so helpful. I feel like I’m finally making progress towards a solution.
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24. Erectile Dysfunction for 3 years, suspected accident when using cock ring for extended time w/o proper breaks. 2 possible minor fractures in recent 3 months with gf. cialis/viagra minimally effective. 70 curve up, 10 curve to the left. MRI neg. No Ultrasound yet

TonySa

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If you can’t find any recommended, if google implant surgeons and start calling to see if they accept Medicaid.  If they do ask how many implants they go a year, what manufacturers do they use (coloplast and AMS), etc.
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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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