Penile implant cost and insurance
The cost of a penile implant is different for every man because it depends mostly on his insurance plan. Many insurance plans, including Medicare, may cover a penile implant when it is medically necessary to treat erectile dysfunction. Call 404-586-4570 and our team will check your benefits.
Medically reviewed by Dr. Chirag Dave
In short
- Many insurance plans cover a penile implant when it is medically necessary for erectile dysfunction.
- We accept most major plans, including Aetna, Blue Cross, Cigna, Humana, United and Medicare.
- Our team checks your benefits and handles prior authorization before surgery is scheduled.
- Financing may be available through CareCredit.
What affects the cost of a penile implant?
No two patients pay the same amount. These are the factors that decide what you pay:
- Your insurance plan: whether the implant is covered, your deductible, coinsurance or copay, and your out-of-pocket maximum.
- Where you are in your plan year: if you have already met your deductible, your share may be lower.
- The type of implant: inflatable or malleable.
- The surgery facility and anesthesia: facility and anesthesia services are part of the total.
- Testing before surgery: for example bloodwork or other tests your surgeon orders.
- Additional procedures: such as straightening for Peyronie's disease or a length-preserving procedure done at the same time.
- Follow-up care: post-operative visits and any supplies.
Does insurance cover a penile implant?
Many plans do when the implant is medically necessary to treat erectile dysfunction. Insurers usually want records showing the diagnosis and the treatments you have tried, such as oral medication or injections. Your consultation documents this, and our team submits the prior authorization request.
Does Medicare cover a penile implant?
Medicare may cover a penile implant when it is medically necessary for erectile dysfunction, and Men's Health Georgia accepts Medicare. What you pay depends on your Part B coverage and any supplement or Medicare Advantage plan, so we review your benefits before surgery.
How to check your benefits
- Call 404-586-4570 or book a consultation and have your insurance card ready.
- At your consultation, the surgeon decides with you whether an implant is right for you and which type.
- Our team verifies your coverage and requests prior authorization.
- We explain your expected share of the cost before surgery is scheduled.
Weighing the cost
Some men compare the cost of a one-time surgery with the ongoing cost of ED medication or injections. Your surgeon can help you think through the options for your situation, including other ED treatments.
Without insurance coverage
If your plan does not cover the implant, call us to talk about self-pay. Financing may be available through CareCredit. See insurance and payment for the plans we accept.
Penile implant cost questions
How much does a penile implant cost?
It depends on your insurance plan, your deductible and coinsurance, the type of implant, the surgery facility and anesthesia, and whether any other procedure is done at the same time. Because those factors differ for every patient, we check your benefits and explain your expected costs before surgery.
Does insurance cover penile implants?
Many insurance plans cover a penile implant when it is medically necessary to treat erectile dysfunction. Plans differ, and most require prior authorization. Call 404-586-4570 and our team will check your coverage.
Does Medicare cover penile implants?
Medicare may cover a penile implant when it is medically necessary to treat erectile dysfunction. Men's Health Georgia accepts Medicare. Your out-of-pocket share depends on your Medicare coverage and any supplemental or Medicare Advantage plan, so we review your benefits with you.
What is prior authorization, and how long does it take?
Prior authorization is your insurer's approval before surgery. Our team submits the request with your medical records. Timing depends on the insurer and can affect when surgery is scheduled.
What if my plan does not cover a penile implant?
Call us to discuss self-pay options. Financing may be available through CareCredit, a healthcare credit card. See financing.
Does a malleable implant cost less than an inflatable implant?
The devices differ, and so can the cost, but what you pay is mostly determined by your insurance benefits. Choose the type that fits your needs first, then we review the cost with you.
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