Foremost in the minds of many men we treat is the cost of a penile implant. Indeed, price is one of the most significant barriers to correcting severe ED. This article will discuss how to navigate the financial aspects of getting a penile prosthesis. Of course, we encourage you to contact our office and speak to our patient navigators as you may find that a penile prosthesis is within reach.
Medicare, commercial insurance policies, and even Medicaid may cover penile implantation. However, as with any surgical procedure, coverage stipulations can differ based on one company to another. Therefore, it is essential to understand your policy thoroughly. Fortunately, our staff will be able to assist you in verifying your insurance benefits. However, some insurances like Medicare do not have a pre-authorization process; therefore, we encourage the patient to ensure that they have all the documentation ready to submit to their insurance company.
Beyond the generalities of medical insurance, it is essential to remember that coverages vary between plans, even at the same insurance company. When it comes to commercial insurance or plans that your employer provides, understanding your plan’s coverages and limitations is very important. In addition to speaking to our office about insurance, you may also wish to contact the insurance company directly. They can offer you some guidance on coverages and out-of-pocket expenses. Speak to Dr. Kapadia about the insurance resources that implant device makers have.
If your insurance does not cover a penile prosthesis or if you do not have health insurance, we encourage you to call our office and understand the self-pay plans we can offer you. By packaging your surgery and involving our hospital or the surgery center, we’re often able to provide a reasonable cost self-pay program. While you will not be subjected to the same limitations imposed by your insurance company, it is worth remembering that, as a practice, we have strict guidelines on who will benefit from a penile prosthesis. After scheduling a consultation with Dr. Kapadia, you will have a definitive answer on whether you are a good candidate for the procedure.
The Cost of Doing Nothing
We will be the first to acknowledge that the issues associated with cost, especially insurance, can be overwhelming and long-winded. For many, the process can push them toward giving up entirely. However, it is essential to understand the cost of not addressing severe ED. What is the real impact of this condition on you and your loved one? Have you lost enjoyment in your life due to erectile dysfunction? If these answers are yes, we encourage you to take back control. We will be there to help you along the way and look forward to seeing you at your consultation.