How to Verify Shockwave Therapy Benefits Before Starting Treatment

Physician speaking with a man about insurance benefits for shockwave therapy in LA

Shockwave Therapy has become an increasingly popular, non-invasive option for treating erectile dysfunction (ED), low testosterone symptoms, and other men’s health concerns. As clinical evidence continues to grow, many patients are pleasantly surprised to learn that insurance coverage, including Medicare and PPO plans, may help offset treatment costs. Before getting started, verify your benefits so you can move forward with confidence.

At Auxo Clinic, our nationally recognized urology partners specialize in treating erectile dysfunction, Peyronie’s disease, and low testosterone using minimally invasive, non-surgical options like Shockwave Therapy, with locations in Los Angeles, San Diego, and Bakersfield.

Step 1: Review Your Insurance Plan Details

Begin by reviewing your insurance policy summary or logging into your insurer’s online portal. Look for coverage related to men’s health, urology services, ED treatment, or non-surgical therapies. PPO plans, in particular, often offer more flexibility, including partial coverage for out-of-network providers. Medicare Advantage plans may also include expanded benefits not found in traditional Medicare.

Step 2: Contact Your Insurance Provider Directly

Call the member services number on your insurance card. Ask whether Shockwave Therapy, or related diagnostic testing and office visits, is covered under your plan. Be sure to inquire about medical-necessity requirements, prior authorizations, and any documentation needed for potential reimbursement.

Step 3: Ask About Medicare and PPO-Specific Options

If you’re covered by Medicare, ask whether portions of care, such as consultations, vascular testing, or follow-up visits, are eligible for coverage. Patients with PPO plans should ask about out-of-network benefits, reimbursement rates, and whether a physician’s referral improves coverage eligibility.

Step 4: Work With a Knowledgeable Provider

Many men’s health clinics, like Auxo, are experienced in helping patients navigate insurance benefits. A reputable provider can verify coverage on your behalf, submit documentation, and explain which parts of your treatment plan may be covered by insurance, Medicare, or supplemental benefits.

Step 5: Explore HSA and FSA Benefits

Even if full coverage isn’t available, Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can often be used for Shockwave Therapy, reducing your out-of-pocket costs with pre-tax dollars.

Move Forward With Confidence with Shockwave Therapy in Los Angeles, CA

Verifying your Shockwave Therapy benefits in advance helps eliminate surprises and lets you focus on your health. With evolving insurance policies and growing acceptance of this treatment, more men are finding accessible, affordable paths to care than ever before. Call us at one of our locations and schedule a visit.

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