Penile nerve transection surgery?
I would like to ask if this surgery is covered by health insurance? What is the out-of-pocket cost? If it is self-paid, what would the cost be?
Azhong, 30~39 year old female. Ask Date: 2013/05/17
Dr. Xu Weikai reply Urology
A-Zhong: Hello, I cannot understand your question.
Are you referring to a nerve transection surgery or a nerve reconstruction surgery? If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers from the internet should only serve as a reference; if necessary, you should seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2013/05/17
More Info
When considering penile nerve surgery in Taiwan, it's essential to understand the insurance coverage and potential out-of-pocket expenses involved. In Taiwan, the National Health Insurance (NHI) system provides coverage for a wide range of medical procedures, but specific eligibility for coverage can vary based on the nature of the surgery and the underlying medical condition.
1. Insurance Coverage: Generally, penile nerve surgery may be covered by the NHI if it is deemed medically necessary. This typically includes cases where there is a significant medical condition that affects sexual function, such as nerve damage due to trauma, diabetes, or other health issues. However, if the surgery is considered elective or for cosmetic reasons, it may not be covered. It is crucial to consult with a healthcare provider who can assess the specific circumstances and provide documentation that supports the medical necessity of the procedure.
2. Out-of-Pocket Expenses: If the surgery is covered by NHI, patients usually only need to pay a small co-payment, which can range from NT$150 to NT$1,500, depending on the specific hospital and the type of procedure performed. However, if the surgery is not covered, patients will need to bear the full cost themselves.
3. Cost of Surgery: The total cost for penile nerve surgery can vary widely based on several factors, including the complexity of the procedure, the hospital's location, and whether it is performed in a public or private facility. If the surgery is not covered by insurance, the costs can range from NT$30,000 to NT$100,000 or more. This estimate includes pre-operative assessments, the surgery itself, and post-operative care.
4. Consultation with Healthcare Providers: It is advisable to have a detailed discussion with the urologist or surgeon regarding the expected costs and insurance coverage before proceeding with the surgery. They can provide a breakdown of the costs involved and help navigate the insurance claims process if applicable.
5. Additional Considerations: Patients should also consider the potential for additional costs related to post-operative care, rehabilitation, or any complications that may arise. It is essential to have a clear understanding of the entire treatment plan and associated costs to avoid unexpected financial burdens.
In summary, while penile nerve surgery may be covered by Taiwan's National Health Insurance under certain conditions, it is vital to confirm coverage eligibility with healthcare providers. If not covered, patients should prepare for significant out-of-pocket expenses, which can vary based on the complexity of the surgery and the healthcare facility chosen. Always consult with medical professionals for the most accurate and personalized information regarding insurance and costs associated with penile nerve surgery.
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