Summary Plan Description

Erectile Dysfunction

90% Network and 80% Non-Network
Services and Supplies Must Be Precertified Unless the Patient Is A Medicare-Eligible Retiree

Benefits are provided for the treatment of organic erectile dysfunction if the patient has a history of one or more of the following:

  • Prostate cancer.
  • Severe spinal cord disease or injury.
  • Insulin-dependent diabetes.
  • Severe Peyronie's disease.

Covered treatment includes vacuum erection devices, injection therapy, penile prosthesis, urethral pellets, and prescription medications (please see Prescription Drug Benefits).