Battling Insurance / Overcoming Fear

One of my blog readers shared a story via email that had two elements to it. I was hard-pressed to provide insights, so I thought I’d ask for your perspectives as well.

First, he had had radiation to treat his prostate cancer but it apparently caused significant issues with his sexual performance to the point that he’s considering a surgical solution to try and restore it. The health insurance company, however, won’t pay for it.

To try and get the insurance company to pay for it, he needs to talk with his human resources representative at work about the terms of the contract, but he “would rather die” than speak to the HR rep about sexual function issues.

So my questions to you are:

1. What advice would you give concerning battling the insurance company?

2. Did you have a similar fear of discussing sexual function/ED with your support team and, if so, how did you overcome it?

Please leave your respectful, constructive comments below if you can help.

3 thoughts on “Battling Insurance / Overcoming Fear

  1. As a fellow prostate cancer club member I would suggest first of all discussing this with your prostate surgeon/hospital to see if they can provide a letter of assistance that this is a side effect of the radiation for the insurance company. If that doesn’t work, a lot will depend on the size of they company he works for. A large company will most likely try to support him. But that decision to speak to HR can only be made by him to which he’s expressed concerns.

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  2. A friend who worked in the insurance industry agreed with the suggestion to have the medical team appeal any decisions and, if that failed, get the state insurance commission involved.

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