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Does insurance cover erectile dysfunction?

There is no quick and easy answer to this question, according to WebMD, which suggests that you consult with your insurance provider to determine if the form of treatment you’re considering is covered under your health insurance plan. Generally speaking, however, most insurance plans will cover at least some of the cost of treatment of documented medical conditions that are shown to be causing erectile dysfunction.

However, WebMD says your health insurance plan probably won’t cover sex therapy or medications that have not yet been approved by the FDA.

Medicare Part D provides coverage of the vast majority of the prescription medications taken by Americans over the age of 65. However, the Center for Medicare & Medicaid Services (CMS) says Part D coverage explicitly excludes “drugs when used for treatment of sexual or erectile dysfunction, unless such agents are used to treat a condition, other than sexual or erectile dysfunction, for which the agents have been approved by the FDA.” However, Medicare does cover vacuum erectile systems, known as “penis pumps,” under the prosthetic benefit provided under Medicare’s Part B.

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