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Does Medicare Cover Penile Implant Surgery?

Doctor physician consulting with male patient in hospital exam room stock photo
By Daniel Petkevich
Dec 9, 2022

If you get your doctor's approval, you could be covered

Erectile dysfunction affects a large number of Medicare beneficiaries. There are many treatments for ED, but it can be tough to find the right one for you. Penile implant surgery could be an option if traditional prescription treatments are not working for you. If your doctor says that penile implant surgery is necessary for the treatment of erectile dysfunction, Medicare will cover it.

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What is penile implant surgery?

Penile implant surgery is a procedure that places implants inside the penis to help men with erectile dysfunction (ED) achieve and maintain an erection. It involves inserting a small device in the penis which allows it to become rigid when filled with fluid.
The implants come in different shapes and sizes, so your doctor will discuss the best option for you. Generally, the procedure takes around 2 hours and requires a 1-2 day hospital stay.

Risks and benefits of penile implant surgery

Penile implant surgery can provide long-lasting solutions for men suffering from erectile dysfunction, allowing them to achieve and maintain an erection that is suitable for intercourse. It also has a high success rate with few complications and side effects. Additionally, it's possible for the implants to be removed if desired.
Like any other surgery, penile implant surgery carries some risks, including infection, bleeding and damage to nearby organs. Additionally, there is a small risk of the implants malfunctioning or failing over time. It's important to discuss all potential risks with your doctor before undergoing this procedure.

How much does penile implant surgery cost?

The cost of penile implant surgery can vary depending on the type of implants used and the complexity of the procedure. If your doctor recommends this treatment, it's important to discuss the costs with them in advance. Medicare will cover some of these costs if it is medically necessary. You might be responsible for up to 20% of the Medicare-approved amount for the surgery, which could cost thousands of dollars. A

Medicare Supplement Plan G

 can lower your out-of-pocket costs to just the Part B deductible.

Who is a good candidate for penile implant surgery?

Penile implant surgery is an option for men who have tried other ED treatments, such as oral medications or vacuum pumps, but who were unsuccessful in achieving an erection. It's important to talk to your doctor about whether this procedure is right for you.

How to prepare for penile implant surgery?

Before undergoing penile implant surgery, your doctor will discuss the procedure with you and answer any questions you may have. Additionally, they may recommend certain tests to make sure that you are a good candidate for this type of surgery. It is also important to stop taking medications or supplements that could interfere with the healing process prior to the procedure.

What to expect after penile implant surgery?

After the procedure, you may experience some swelling and bruising in the area. You may also have to wear a bandage or compression garment for a few days. It's important to follow your doctor's instructions carefully and take any medications that are prescribed to help with healing and reduce the risk of infection.

Takeaway

In summary, Medicare will cover penile implant surgery if it is medically necessary to treat erectile dysfunction. The procedure has a high success rate with few complications and side effects, but it does carry some risks. It's important to discuss the costs, benefits and risks with your doctor before deciding if this is the right option for you. This content is for informational purposes only. If you have any questions about your Medicare plan, call an expert at Fair Square Medicare today.

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Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

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