Good news for me. Insurance will cover Xiaflex or Grafting operation with a small copay. I was asked to go to medical policy G-9-017 of Highmark site and read weather my situation meets criteria of peyronies for approval. I read this policy and got no info that could be understood by myself, since it was written by doctors for doctors. From what I thought it had to be over 30 (mine is about 45degree bend) some pain and some ED issues. Does anyone know for sure? I don't want to waste my time going to doctor just to hear I didn't meet that.
My insurance criteria is curve greater than 30 degrees, symptoms for six months, palpable plaque.
Thanks Betterbend. I have more that 30 degrees but my plaque in not palpable.
If they deny based on palpable plaque—appeal based on ultrasound or scan which is more definitive anyway.
Will do. Thanks Sanchez.