Thursday, September 22, 2022

Is The Urolift Procedure Covered By Medicare

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How Can I Find Out If My Insurance Company Will Cover The Rezm Procedure

Urolift Procedure for Patients with BPH

We recommend a verification of benefits be done with your insurance company several days, if not weeks, in advance of the scheduled Rezm procedure. The verification of benefits is a crucial component to understanding the exact coverage criteria under your plan. Your plan may require a Prior Authorization and/or allow for a Pre-determination. These processes are meant to allow your health insurance company the opportunity to evaluate your treatment plan and specifics of the request to review for medical necessity. Please ask your doctors office about your anticipated coverage options.

How Am I In A Position To Find Out If My Declare For Rezm Water Vapor Remedy Has Been Submitted To The Insurance Coverage Company

UnitedHealthcare plans cowl the Urolift process for our sufferers. Urology Partners is a quantity one supplier of the UroLift® procedure in the Dallas-Fort Worth space. We are considered one of solely two urology practices in Texas that has 4 urologists whove achieved Center of Excellence standing. The UroLift Center of Excellence designation is a coveted credential only bestowed upon providers with the very best level of coaching and experience.

If you might be having bother urinating after the process, your doctor might insert another catheter in your bladder. Plan to reach around 30 to 60 minutes prior to your scheduled process time. When deciding among the numerous surgical choices, your doctor will contemplate factors like the size and shape of your prostate gland, your choice, and general health standing. This enlargement usually squeezes the urethra, which is the interior pathway tube that carries urine from the bladder to the skin the urethra passes right by way of the prostate.

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Talking To Your Doctor About Bph

BPH is very common, dont be afraid to discuss your concerns with your doctor. If you are experiencing any of the mentioned symptoms, there are many treatment options that are available to you.

Before your doctors office visit, you can take thisBPH Symptom Quiz, designed by the American Urological Association, to determine the severity of your symptoms.

Schedule an appointment today with Bellingham Urology to discuss your BPH symptoms and your treatment options.

Here at Bellingham Urology Group, were proud to announce that weve been recognized as a UroLift Center of Excellence by UroLift.com. You can read more about it here.

Are There Any Side Effects

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The most common side effects reported in clinical studies were mild to moderate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate, and/or the inability to control the urge to urinate. Most symptoms resolved within two to four weeks after having the procedure. 1

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How Long Do The Effects Of Urolift Last

The Implants are intended to be permanent. The implant is made up of standard surgical implantable materials. If ever needed, your doctor can remove the urethral implant. The suture can be cut and the urethral end piece can be retrieved with a standard grasper. The capsular tab will remain in place inside the body.

Neotract Announces Expanded Coverage For Urolift System Treatment For Patients With Enlarged Prostate

Favorable Coverage Decisions Broaden Access to This Minimally Invasive Treatment That Provides Rapid Relief and Recovery from Symptoms

PLEASANTON, Calif. February 14, 2019 NeoTract, a wholly owned subsidiary of Teleflex Incorporated focused on addressing unmet needs in the field of urology, today announced that Humana, one of the nations largest private health insurers, is now providing insurance coverage for the UroLift® System, a minimally invasive in-office treatment that provides rapid relief and recovery from the symptoms of benign prostatic hyperplasia . 1,2

Humana insures more than 9.2 million lives through their commercial and Medicare Advantage products. With more than 3.5 million Medicare Advantage members, Humana is also one of the country’s largest administrators of Medicare Advantage plans.

NeoTract also announced that an additional 90,000 lives are now covered for the UroLift System by Motion Picture Industry Pension & Health Plans , which is administered by Anthem Blue Cross This is an encouraging step forward as Anthem Blue Cross is the only independent licensee of the Blue Cross Blue Shield Association not currently allowing member access to the UroLift System procedure. With these recent coverage decisions, a large majority of insured men in America now have access to the UroLift System procedure using their health insurance benefits.

*No instances of new, sustained erectile or ejaculatory dysfunction.

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What If My Health Insurance Company Has Denied Coverage For Rezm Water Vapor Therapy

If your health insurance company has denied coverage for Rezm Water Vapor Therapy, you may want to appeal the denial by following these steps:

  • Contact your doctors office and ask if they will submit an appeal on your behalf.
  • Contact your insurance company and ask to appeal the decision. They will be able to provide you with next step instructions.
  • If you are enrolled in an employer-sponsored health plan, this guide and sample appeal letter may be helpful as you pursue coverage.

All Patients With Medicare Who Are Eligible For Urolift Can Be Treated

The Facts About the UroLift Minimally Invasive Treatment Option for BPH

Medicare decided to cover the Urolift procedure after evaluating scientific studies that demonstrate excellent outcomes and very good safety of the procedure. Currently for men with enlarged prostate Medicare covers the cost of medications, Urolift procedure, Greenlight laser,Rezum procedure, HOLEP prostate enucleation, and TURP as well as open surgery for treatment of enlarged prostate.

The availability of Urolift procedure to patients with Medicare is an important milestone as men now have an additional treatment option for BPH that does not require medications and has no sexual side effects.

If you have any questions about the treatment of BPH with Urolift, to schedule a consultation with Dr. Shteynshlyuger, or if you need a second opinion for BPH, pleasecontact us.

Dr. Shteynshlyuger is a board-certified urologist and specialist in the treatment of enlarged prostate and complex urinary problems using minimally invasive approaches. He is the Director of Urology at New York Urology Specialists. He is one of the first urologists in the US and in New York City to offer Urolift as a treatment for enlarged prostate.

Medicare covers the cost of Urolift procedure for all eligible men who experience symptoms of an enlarged prostate. A proper evaluation is required, which may include bladder ultrasound, uroflow procedure, cystoscopy, and prostate ultrasound in addition to the PSA test.

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Where To Get Urolift Procedure In Nyc

At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men. Same-day virtual video appointments and in-person appointments are available.

Call/text today: or make an appointment online.

We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office. We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting. We treat urinary and erection problems. We offer confidential appointments.

Our appointment costs are affordable with or without insurance. We offer free insurance verification.

Overall Cost Of Urolift Procedure

The overall cost of the Urolift procedure should also include the cost of the evaluation. All patients interested in the Urolift procedure will need to have, at the very least, cystoscopy to evaluate whether they are a candidate for the Urolift procedure. Cystoscopy performed elsewhere will need to be repeated as it is a visual evaluation, and this 3-dimensional perspective cannot be obtained from a report of a cystoscopy performed elsewhere. A urodynamic test may also be necessary.

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Who Is The Manufacturer Of Urolift

The UroLift System is manufactured by NeoTract, Inc, which is located in Pleasanton, California. They were founded in 2004. The organization manufactures medical equipment and devices, most particularly for urologists.

They sell devices which can treat lower urinary tract symptoms. They only serve customers in the United States.

Good News For Men With No Insurance Or High Deductible: Urolift In Our Office Saves You $$$

UroLift® System Commonly Billed Codes

New York Urology Specialists is a leader in offering Urolift procedure under local anesthesia. In fact, more than 80% of our patients have the Urolift procedure done in the office setting under local anesthesia whether they pay out-of-pocket or are covered by insurance.

The procedure takes 15 minutes to perform. Most men have minimal discomfort and can go home an hour after the procedure. Urolift in our office is safer than having the procedure done in a hospital, as our infection rates are lower, and there is no risk of general anesthesia.

This saves you a tremendous amount of money compared to what hospitals charge so much that hospitals wont tell you the price!

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What Other Treatment Methods Are Available

If youre diagnosed with BPH, there are a number of options your urologist may discuss with you.

Because men are affected by BPH in varying degrees and some approaches work better for particular men than others, the treatment decision is not always straightforward. Your urologist can help sift through the pluses and minuses of each option, including UroLift and others, to identify the one likeliest to achieve a good outcome for you. Here are other available treatments for BPH:

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The Urolift Procedure What You Can Expect

One of our specially trained urologists will perform the UroLift procedure. This outpatient procedure is typically performed in the physicians office under local anesthesia.

The procedure involves the following steps:

  • The UroLift Delivery Device is placed through the obstructed urethra to access the enlarged prostate.
  • Small UroLift implants are permanently placed to lift or hold the enlarged prostate tissue out of the way and increase the opening of the urethra. The permanent implants are delivered through a small needle that comes out of the UroLift Delivery Device and into the prostate.
  • The UroLift Delivery Device is removed, leaving an open urethra to provide symptom relief.
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    Where To Get Urolift Procedure In Nyc Near Queens

    At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men. Same-day virtual video appointments and in-person appointments are available.

    Call/text today: or make an appointment online.

    We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office. We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting. We treat urinary and erection problems. We offer confidential appointments.

    Our appointment costs are affordable with or without insurance. We offer free insurance verification.

    What Happens After The Urolift Procedure For Bph

    UroLift – BPH Solution

    The UroLift procedure is routinely performed in an office setting under local anesthesia. Following the procedure, men may experience mild discomfort, some burning during urination and blood in the urine. These symptoms go away fairly quickly, though. Theres always going to be discomfort with any procedure, Dr. Nuss says.

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    What You Need To Know About Urolift

    Alliance Urology is proud to offer a variety of services to help treat common urologic problems. One of the issues we regularly treat is benign prostatic hyperplasia . BPH is also known as prostate gland enlargement, a common condition among men, especially as they get older. An enlarged prostate can lead to uncomfortable urinary symptoms, such as obstructing to prevent urine flow from the bladder. BPH can also cause issues with the bladder, urinary tract, or kidneys. While there are various treatment options for BPH, we will focus on a specific service called UroLift. In this blog, we will break down what you need to know about UroLift and answer common questions relating to this service.

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    What Is The Urolift System

    Treatment with the UroLift® System uses a minimally invasive approach that provides rapid relief and recovery of BPH symptoms. It is an earlier treatment option that can get men off BPH medications and avoid major surgery. The goal of the UroLift System treatment is to relieve symptoms so you can get back to your life and resume your daily activities. The UroLift® System treatment has demonstrated a significant improvement in quality of life for patients that is greater than reported for medications. The UroLift® System is the only BPH procedure shown not to cause new and lasting erectile or ejaculatory dysfunction*, while being a safe and effective treatment of lower urinary tract symptoms due to BPH.

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    Benefits Of The Urolift System

    • Rapid symptom relief and recovery
    • Significant improvement in quality of life

    As with any medical procedure, individual results may vary. Speak with your urologist to see if the UroLift System treatment is right for you. Most common side effects are mild to moderate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate and/or the inability to control the urge. Most of these side effects resolve within two to four weeks after the procedure.

    Treatment Option For Bph: The Urolift System

    UroLift® System Commonly Billed Codes

    Urologists at UCLA Urology are now offering UroLift, a new treatment option for benign prostatic hyperplasia .

    UroLift Offers Relief for BPH

    When Jeff Brenner first began experiencing bothersome urinary symptoms in his 40s, he attributed it to middle age and figured it was something he could live with.

    An enlarged prostate compresses on the urethra, making it difficult for urine to flow.The UroLift Device is placed through the obstructed urethra to access the enlarged prostate.The device compresses the tissue and delivers tiny implants to lift and hold prostate tissue out of the way, thus opening the urethra. The permanent implants keep the tissue in place, like tiebacks on a window curtain.The UroLift Device is removed, leaving an open urethra for urine to flow.

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    Insurance Coverage For Urolift Procedure

    Medicare and many other . If you are interested in the Urolift procedure, please schedule an evaluation. If you are a candidate for the Urolift procedure, we will request a coverage determination from your insurance company. Typically insurance companies require pre-authorization for a Urolift procedure. We cannot obtain preauthorization until the doctor has evaluated you and determined that you are a candidate for the Urolift procedure.

    Did you know?Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP. He performs over 100 prostate procedures a year.

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    Advanced Urolift: An Amazing Treatment From The Best Team

    If you have prostate enlargement or benign prostate enlargement ) we can help. Advanced Urolift is an amazing treatment to permanently fix BPH/BPE with no cutting, no incisions, and no sexual side effects. It is done as an outpatient in our state of the art surgery centers with the best outcomes. Advanced Urology has the most Urolift Centers of Excellence.

    ADVANCED UROLIFT: AN AMAZING TREATMENT FROM THE BEST TEAM

    If you have prostate enlargement or benign prostate enlargement ) we can help. Advanced Urolift is an amazing treatment to permanently fix BPH/BPE with no cutting, no incisions, and no sexual side effects. It is done as an outpatient in our state of the art surgery centers with the best outcomes. Advanced Urology has the most Urolift Centers of Excellence.

    COME TO THE BEST IN THE WORLD

    We are the best in the world at Urolift. Our quality and outcomes are unmatched. Schedule an appointment today to improve your quality of life.

    3 REASONS TO COME TO ADVANCED

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    Does Medicare Cover Urolift Procedure

    The prostate gland, which is found in men, is a gland that secretes fluid that nourishes and protects the sperm. When a man reaches the age of 40 or 50, the prostate gland expands. This enlargement can lead to Benign Prostate Hyperplasia, or BPH. One of the ways to treat BPH is through a treatment called UroLift System.

    This leads to many asking the question, does Medicare cover UroLift procedure? In this article, we answer that question in clear, plain English. You will also find the average costs of the UroLift procedure.

    An Alternative To Medications And Surgery To Treat Bph/enlarged Prostate

    Dr. Daniel Jaffee, Affiliated Urologists explains the UroLift Treatment for BPH

    UroLift® is an FDA-approved, minimally invasive treatment for benign prostatic hyperplasia . The procedure involves lifting or holding the enlarged prostate tissue out of the way so it no longer blocks the urethra, relieving urinary symptoms. Permanent implants are inserted utilizing a special delivery device and act like window curtain tie-backs, holding the lobes of the enlarged prostate open to relieve obstruction of the urethra. There is no cutting, heating, or removal of prostate tissue involved. Most medical insurance providers, including all Medicare plans, cover the UroLift System treatment when medically necessary.

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