Common use of Penile Prosthesis for Physiological Impotence Clause in Contracts

Penile Prosthesis for Physiological Impotence. Benefits are provided for a penile prosthesis required for physiological (not psychological) impotence, subject to advance approval by the Company only in the following situations: trauma, radical pelvic surgery, diabetes, Peyronie's Disease, vascular or neurological diseases when individual situation warrants coverage in the Company's opinion. To request advance approval, a written report prepared by Your Doctor must be submitted to the Company. The Company has the right to request and obtain medical information it considers needed to determine whether benefits should be approved or not. Benefits are not provided for services of sleep laboratories for nocturnal penile tumescence testing.