Is Circumcision Covered By Insurance For Adults?

Adult circumcision (or cosmetic circumcision) is often not covered by health insurance plans unless it is medically necessary. Adult circumcision costs typically range from $1500 to $3,000, depending on the geographic region, type of anesthesia used, and the provider’s skill.

How do I know if my insurance covers circumcision?

When Circumcision Is Covered By Insurance When the foreskin is producing a functional difficulty, insurance will cover the cost of circumcision if it is medically necessary. For the treatment of recurrent balanitis, circumcision is considered medically required.

How much is circumcision with insurance?

Cost When Insurance Is Involved If you have health insurance, the cost of your circumcision operation could range from free to $50. This, however, is depending on the type of insurance coverage, as most would have a coinsurance of 10 to 50%.

Can I get circumcised at 40?

Circumcision is frequently connected with infant males. Adults, on the other hand, are often astonished to hear that they can request the operation. In reality, we perform between 50 and 100 adult circumcisions each year at MedStar Washington Hospital Center.

Adult circumcision is a reconstructive operation that involves removing extra foreskin from the penile shaft. Because the majority of American males are circumcised, those who aren’t may feel self-conscious, worried that their spouses will think it’s strange. Adult circumcision can also be caused by certain skin disorders, such as:

  • Circumcision is the preferred treatment for genital warts that have grown large or several times on the foreskin.
  • Lichen sclerosus: An immune-mediated skin disorder that causes scarring of the foreskin and tightening of the skin around the shaft and head of the penis, potentially leading to infection.
  • Phimosis is a condition in which the foreskin tightens and traps urine beneath the skin, causing irritation or infection on the head of the penis, skin, or urinary system.

We met a man in his fifties who had tight penis foreskin, frequent infections, and phimosis. He had a circumcision and was infection- and symptom-free within a month of the procedure.

Can I get circumcised at 21?

The surgical removal of the foreskin is known as circumcision. A flaccid penis’ head is hidden by foreskin. The foreskin pulls back to reveal the penis when the penis is erect.

A doctor cuts away a bit of the foreskin and reattaches the remaining section to form a shorter section of skin during a circumcision.

Circumcision is performed on children for a variety of reasons, including religious, social, medical, and cultural considerations. This technique is widespread in Jewish and Islamic communities, for example, as part of religious requirements.

Circumcision of a newborn is more common than that of an adolescent or adult. More than 58 percent of babies in the United States are circumcised. Total circumcision rates in the United States, on the other hand, could be as high as 71 percent.

Later in life, some people with an uncircumcised penis get the operation. Adult circumcision is usually a straightforward process, but it is more extensive than that performed on infants.

People who choose to have it done may do so for medical, religious, or social reasons, same to why parents select it for their newborns.

It’s worth noting that circumcision is still a topic of contention in many cultures. We’ll go over some of the most recent results and research, but many of the claims will be contested.

Is circumcision covered by Anthem Blue Cross?

All individual and family plans now include coverage for maternity care, according to the Affordable Care Act. These new health services, many of which are offered at no cost to the patient, are also available to newborns. Coverage for routine neonatal circumcision is prominent in many private health policies.

Routine male infant circumcision is a covered benefit

In general, the member’s Evidence of Coverage (EOC) document from the health plan contains all of the rules, covered health care services, and exclusions. While some EOCs are fairly explicit on newborn circumcision coverage, others are either lacking of information or, worse, open to interpretation.

Private health insurance specifies circumcision

Routine infant circumcision is notably mentioned as a covered benefit in the EOCs for Anthem Blue Cross, Blue Shield of California, and Health Net’s individual and family plans. In the EOCs I looked at, Blue Shield and Health Net didn’t indicate the gender of the baby who can be circumcised.

Blue Shield of California PPO EOC

6) Routine infant circumcision in an outpatient setting within 18 months after birth.

**Circumcisions are covered when medically necessary for Covered Persons aged 31 days and older “Surgery and Services for Outpatients.” Please refer to the “For applicable Copayments and Coinsurance, see the “Outpatient Surgery and Services” section.

Health Net HMO EOC

*** Circumcisions for members 31 days and older are covered under outpatient surgery when medically necessary. Copayments for other professional services and outpatient hospital services are included under “Other Professional Services” and “Outpatient Hospital Services,” respectively.

Anthem PPO EOC

Routine nursery care for the Newborn during the mother’s typical Hospital stay, including circumcision of a covered male Dependent and genetic disease screening of a Newborn delivered under a law or regulation-mandated program;

Circumcision missing from some health plans

Circumcision is not a covered benefit for other health insurance providers and health plans participating in the Covered California exchange for individual and family policies. In member agreements or EOCs for Kaiser, Western Health Advantage, and Chinese Community Health Plan, I found no reference of routine infant circumcision. That doesn’t rule out the possibility of circumcision being covered under those policies.

Medi-Cal won’t cover circumcision

Contrary to private health individual health insurance, the Managed Health Care HMO plans provided to current and expanded Medi-Cal participants make it plain that circumcision is not a covered benefit. In other words, if the parents of a child enrolled in a Medi-Cal (Meidcaid) health plan want their infant son circumcised for non-medical reasons, they will be responsible for the entire cost of the treatment. The health plan will not cover the cost of circumcision for the practitioner.

Medically necessary versus cosmetic surgery circumcision

Circumcision will only be covered if it is medically required, according to all commercial and public health plans that serve Medi-Cal members. There are times when a newborn baby boy’s foreskin needs to be medically removed or fixed to correct an anomaly. Circumcision is, in many ways, seen as cosmetic surgery.

Cosmetic surgery (surgical that alters or reshapes normal body structures to improve one’s look) — L.A. Care Medi-Cal member handbook

Prostate cancer prevention

According to a recent study, those who were circumcised had a decreased risk of prostate cancer. Circumcision with prostate cancer: a population-based control study in Montreal, Canada, according to the abstract in BJU International.

Circumcised males had a slightly decreased risk of prostate cancer than uncircumcised men (OR 0.89, 95 percent CI 0.76–1.04), albeit the difference was not statistically significant. In men under the age of 36, circumcision was found to be protective (OR 0.55, 95 percent CI 0.30–0.98). Men circumcised within one year of birth had a lesser protective effect (OR 0.86, 95 percent CI 0.72–1.04). Circumcision was found to have the largest protective impact in Black men (OR 0.40, 95 percent CI 0.19–0.86, P-value for interaction 0.02), but no link was established with other ancestral groups.

Our findings add to the growing body of data that circumcision can help prevent prostate cancer, particularly in males under the age of 36, while circumcision before the age of one year may also be beneficial. Only Black males, who have the greatest risk of illness, appeared to benefit from circumcision. More research investigating the effects of circumcision on prostate cancer risk based on ancestry, as well as the impact of circumcision age, is needed.

Prophylactic mastectomies

Adult men may seek circumcision after the age of 30 to lower their chance of prostate cancer, just as many women are opting for a double mastectomy to eliminate their risk of breast cancer. In both cases, individuals who are capable of making an informed decision are reaping the preventive benefits of irreversibly modifying one’s body. Women who are at risk for breast cancer might have a genetic test to check if they have the “breast cancer genes.” Unfortunately for males, no definitive association between intact foreskin and prostate cancer in adult men has been identified, whether through genes or STIs.

Circumcision resources

There are numerous websites available to assist parents in learning more about circumcising their newborn baby boy. The fact that circumcision is a covered benefit under your health plan isn’t always the best incentive to get it done. It would be good for health plans that do include circumcision to help educate moms and fathers about what many people regard as superfluous aesthetic surgery on a newborn who is completely dependent on the health-care system.

Does my health plan cover circumcision?

Downloading the Evidence of Coverage document in pdf format is the quickest way to see if your health plan covers regular infant circumcision. Under Edit> Find>Open Full Reader, select Edit> Find>Open Full Reader. When you search for circumcision and type it into the search box, you’ll get a list of all the pages that contain the term. If circumcision is not listed in the EOC, you can call your health plan to determine if procedure is covered. Some of the EOCs for the various plans are given on my website in the drop down menu of carriers under Health Plans>Individual and Family>. Some providers do not make their EOCs widely accessible online. Please let me know whether your health plan covers “routine baby circumcision” and I’ll update the list.

Are circumcisions covered by medical?

If a doctor determines it’s medically required and the person has an eligible condition, Medicaid will cover circumcision for newborn and non-newborn boys. Beneficiaries with repeated urinary tract infections or a congenital defect that produces symptoms, for example, will be considered for Medicaid support. Circumcisions for newborn males are covered by Medicaid in several states, even if they are not medically necessary.

What is the best age for circumcision?

These data imply that circumcision should be performed when boys are and anesthetic issues are at a minimum. A longer stay in the hospital is linked to a higher risk of infection as well as higher costs (24).

Who performs circumcision for adults?

Circumcision is performed on one out of every six male babies around the world. 1 In 1992, almost 60% of male babies in the United States were circumcised. 2 Adult circumcision is performed far less frequently; nonetheless, reliable figures are unavailable. Adult circumcision is frequently performed for medical reasons, although it can also be done for social or purely personal reasons. Urologists commonly conduct adult circumcision as an outpatient procedure. Family doctors who practice in isolated or rural regions and are properly trained may be able to perform this surgery. All family physicians should be prepared to discuss the indications for adult circumcision with their patients and, if required, recommend them for the operation.

How painful is circumcision in adults?

In most cases, it isn’t too painful. You’ll probably only need over-the-counter pain medications like ibuprofen or acetaminophen. A dressing will most likely be applied to the area or to your entire penis. When it’s time to take it out, follow your doctor’s instructions.

Can u get hard after circumcision?

During sleep, adolescent boys and men have multiple erections, and the majority of them wake up with an erection. After the circumcision, erections may cause agony for a few days or nights. This discomfort normally subsides when the erection does.