“I am currently uninsured or my insurance has denied my appeal.”

Before committing to paying for the procedure yourself, investigate your options for insurance coverage. Even if you have looked in the past and have decided against purchasing coverage, there are more options now than ever before. Many plans are financially subsidized if you meet specific income criteria.

If you have insurance, but your plan does not cover the procedure, you may be interested in looking into alternative plans offered by your employer, policies available through the Affordable Care Act (ACA) exchanges/marketplace, or policies purchased directly from various insurance companies. You may need to wait for an open enrollment period; these usually occur in October/November or when your plan year ends.

When looking at plans, you will need to evaluate the possible out-of-pocket costs in combination with the monthly premium costs. An insurance broker can help you fully evaluate your coverage options. Remember, switching policies usually require a full year commitment, but you can always switch back to your original coverage the following year.

For the plan(s) you are considering, you will need to contact the insurance company directly and ask whether or not there is coverage or a benefit exclusion for the procedure. Information on coverage for sexual dysfunction is not usually in the summaries provided. You will need a representative of the insurance company to look up this information on your behalf.

If you are paying for the procedure yourself, the first thing to be aware of is that your choice of physician and facility can dramatically affect your costs. For example, Ambulatory Surgery Centers (ASCs) usually have lower costs than Hospital Outpatient departments. Each provider or facility sets their own price for a procedure. When they set this price, it is assumed that most patients will be covered by insurance, and pay only a fraction of the rates negotiated by their plans (which are often considerably lower than the “list” price). Therefore, these prices can be quite high.

If you are financing the procedure yourself, do not hesitate to check all of your options. Most facilities and physicians have financial assistance programs or policies, but the lower the initial amount, the more affordable the end result is likely to be. Keep in mind that you will receive a bill for (at minimum) the surgeons cost as well as the facility cost.

In many cases you will have to ask specifically before you will receive information regarding assistance programs. Do not be afraid to advocate for your needs.

Many assistance programs will require you to provide financial data to determine your level of need. Ask if the provider and facility offer self-pay discounts or prompt pay discounts. Coloplast does not have an assistance program at this time.




Titan® and Titan® Touch Inflatable Penile Prosthesis – Important Safety Information
A penile implant, also called a penile prosthesis, is concealed entirely within the body to address erectile dysfunction (impotence). The implant requires some degree of manipulation before and after intercourse to make the penis erect or flaccid.

Indications
The Titan and Titan Touch Inflatable Penile Prosthesis is indicated for male patients suffering from erectile dysfunction (impotence) who are considered to be candidates for implantation of a penile prosthesis.

Contraindications
The Titan and Titan Touch Inflatable Penile Prosthesis is contraindicated in patients who have one or more of the following: (1) Patients with an active infection present anywhere in the body, especially urinary tract or genital infection. (2) Patients with a documented sensitivity to silicone. (3) Patients with unresolved problems affecting urination, such as an elevated residual urine volume secondary to bladder outlet obstruction or neurogenic bladder. (4) Patients unwilling to undergo any further surgery for device revision.

Warnings
Implantation of the device may make latent natural erections, as well as other interventional treatment options, impossible. Men with diabetes or spinal cord injuries, as well as immunocompromised patients, may have an increased risk of infection associated with a prosthesis. Implantation of a penile prosthesis may result in penile shortening, curvature or scarring.

Precautions
Removal of an implanted prosthesis without timely reimplantation of a new prosthesis may complicate subsequent reimplantation or may make it impossible. MRI quality may be compromised if the area of interest is in the exact same area or relatively close to the position of the Titan, and Titan Touch IPP. Be sure to consult with your physician. Patients should discuss all available treatment options and their risks and benefits with their physician. Health conditions which hamper sexual activity, such as severe chest pain (angina), may prevent successful use of this device. The prosthesis should not be implanted in patients who lack the manual dexterity or strength necessary to operate the device. Trauma to the pelvic or abdominal areas, such as impact injuries associated with sports (e.g., bicycle riding), can result in damage of the implanted device and/or surrounding tissues. This damage may result in the malfunction of the device and may necessitate surgical correction, including replacement of the device. The device may be used in the presence of Peyronie’s Disease.

Potential Complications
Penile implants are surgical solutions requiring a healing period that have risks associated with surgery such as scrotal swelling, auto-inflation, discomfort, angulation/curvature, swelling (edema), device malfunction, chronic pain, difficulty with ejaculation, transient urinary retention, fever, migration, patient dissatisfaction, infection at surgical site or wound, deflation, swelling of clotted blood or clear fluid (hematoma/seroma), wound leakage, bleeding, delayed wound healing, narrowing of the opening of the foreskin (phimosis), sensory loss, cylinder malfunction, formation of thick tissue (fibrous capsule formation), over/under inflation, erosion, scrotal reddening (erythema), genital change, and inguinal hernia.

This treatment is prescribed by your physician. Discuss the treatment options with your physician to understand the risks and benefits of the various options to determine if a penile implant is right for you.

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.