Does Health Insurance Cover Phimosis Surgery in Taiwan? - Urology

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Is phimosis covered by health insurance?


I am unable to fully retract my foreskin over the glans, both when flaccid and erect, which I believe indicates phimosis.
I have been considering circumcision recently, but as a student, I am unsure if health insurance covers this procedure.
If it is not covered, what would the out-of-pocket cost approximately be?

Lü, 20~29 year old female. Ask Date: 2015/08/18

Dr. Xu Wencang reply Urology


If the erection cannot be retracted or is stuck, a circumcision may be necessary.
It is advisable to consult a physician for evaluation, as the out-of-pocket expenses may vary by hospital.

Reply Date: 2015/08/18

More Info


In Taiwan, health insurance does cover phimosis surgery, commonly referred to as circumcision, under certain conditions. The National Health Insurance (NHI) program in Taiwan provides coverage for medically necessary procedures, including those related to phimosis when it causes significant problems such as recurrent infections, pain, or other complications.
To qualify for coverage, you typically need to demonstrate that the phimosis is causing functional issues. This often involves a consultation with a urologist who will assess your condition. If the doctor determines that surgery is necessary for medical reasons, they will provide the necessary documentation to support your claim for insurance coverage.

As for out-of-pocket expenses, while the surgery itself may be covered, there could be additional costs associated with the procedure. These might include fees for the hospital stay, anesthesia, or any pre-operative tests that may be required. The specific amount you would need to pay out of pocket can vary depending on the hospital and the complexity of your case. It is advisable to discuss these potential costs with the healthcare provider or the hospital's billing department before proceeding with the surgery.

In terms of the procedure itself, circumcision is generally considered a safe and effective treatment for phimosis. The surgery involves the removal of the foreskin, allowing for easier hygiene and reducing the risk of infections. Recovery time is usually short, and most patients can return to normal activities within a week or two, although it is essential to follow the post-operative care instructions provided by your surgeon.

It's also worth noting that circumcision is a common procedure, and many individuals undergo it for various reasons, including cultural, religious, or medical. If you are a student and concerned about the implications of the surgery, it might be helpful to speak with a trusted adult or healthcare provider who can provide guidance and support.

In summary, if you are experiencing issues related to phimosis, it is advisable to consult with a urologist who can evaluate your condition and discuss the potential for surgery. If deemed medically necessary, the procedure may be covered by health insurance, but be sure to clarify any potential out-of-pocket costs beforehand.

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