REZUM for BPH Insurance Coverage in NYC
by Dr. Alex Shteynshlyuger, a board-certified urologist and specialist in the treatment of enlarged prostate and complex urinary problems using minimally invasive approaches. He is one of the first urologists in the US and NYC to offer Urolift as a treatment for enlarged prostate.
Rezum is an Effective Treatment Options for Many Men
Rezum is an innovative water vapor-thermotherapy for Enlarged Prostate. Pressurized water-vapor ‘trims’ enlarged prostate so that urine can flow easily. Rezum was shown to be effective for treatment of an enlarged prostate in men with excellent safety.
Many Insurances Cover the Cost of Treatment with Rezum for Men with Enlarged Prostate
Because Rezum treatment for enlarged prostate was shown to be effective in large randomized trials, many insurance companies pay for the cost of Rezum treatment for men with enlarged prostate and BPH. There are still a few insurances that are still waiting to approve payments for Rezum BPH treatment.
Once you schedule your initial appointment at New York Urology Specialists and we performed a thorough evaluation to establish that you are a good candidate for Rezum procedure, we will submit the results of all tests (bladder and prostate ultrasound, uroflow results, cystoscopy and urodynamics results) to insurance company for their review in order for them to approve treatment.
Most insurances approve treatment for men with enlarged prostate with Rezum without difficulty but sometimes we need to appeal their decisions which may take a few weeks.
Insurances Covering Rezum in 2018:
- United Healthcare
- Blue Cross Plans (varies plan-by-plan, requires pre-authorization)
Treatment Options for Men with Enlarged Prostate if Insurance Does Not Cover the Cost of Rezum
For men who have no insurance or if their insurance does not cover the cost of treatment with the Rezum procedure at New York Urology Specialists, we offer special self-pay rates. Financing options are also available.
Urolift procedure is covered by many insurances and may be an alternative to the Rezum procedure for many men. Follow man with large median lobes prostate enucleation is covered by all insurance companies, usually in full and is a very effective treatment option.
How Can Treatment for Enlarged Prostate with REZUM Procedure be Made More Affordable?
At New York Urology Specialists we perform the Rezum procedure in the office under local anesthesia which avoids large and unnecessary fees for general anesthesia and hospital fees.
For patients with insurance, surgical center and hospital deductibles can be quite high and co-insurance may also apply. By choosing to do your Rezum in our office under local anesthesia, you save time, your procedure is as painless as it would be under general anesthesia and you save a significant amount of money.
Because we are an independent practice, we offer all our patients a choice to have the procedure done in our office, in an affiliated surgical center or a hospital. Majority of our patients choose to have the procedure done in our office.
Can Men from Outside of NYC Come to New York Urology Specialists for REZUM Treatment?
Men from outside of New York City including international patients can choose to have the Rezum procedure performed in our office at New York Urology Specialists. Depending on individual patient’s history and medical records, additional studies would usually need to be performed.
At a minimum, cystoscopy, uroflow and pelvic ultrasound is necessary to evaluate whether the patient is a good candidate for the Rezum procedure. Typically, we would recommend scheduling an initial visit for the evaluation and a follow-up visit in a few weeks to months to do additional studies if necessary and/or Rezum procedure.
For men who have had prior treatment for enlarged prostate and evaluation elsewhere, re-evaluation and Rezum procedure if appropriate can be performed a few days apart. Typically a visit for about a week to New York City would be advisable.
Why Choose New York Urology Specialists for Treatment of Enlarged Prostate (BPH) with Rezum Convective RF Water Vapor Thermal Therapy?
- All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
- We are one of the few practices in the region to offer a full range of options for treatment of BPH.
- We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
- Extensive Experience: Hundreds of men treated successfully using medical therapy, Urolift, lasers for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
- We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).
When it comes to experience and innovation – New York Urology Specialists are a step ahead. Better Science Means Better Care. We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.
Medicare and major insurances accepted. We offer affordable rates and financing options.
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urinary problems in men. He uses modern effective and proven treatment methods including Urolift for BPH. He is highly recommended by top primary care physicians in the New York area.
He has successfully performed hundreds of prostate procedures in adults. Rezum BPH procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.