Question:
i have insurance that will not pay I also have medicare anyone know if they will pay
— myttshd2 (posted on May 6, 2009)
May 6, 2009
Hi Sherrie,
I dont know wheree you are..but my sister-in-law had/has Medicare and here
in Florida it paid for her surgery. She had to use a Hospital of
Excellance.. that is a term used for a hospital that has a surgon that has
successfully done a certian amount of surgs. She had to have a years worth
of doctor documented visits for weight loss, as well as many other types of
DR check ups to prove she needed the surg. Check with your Medicare
supplier and find out the Drs you are able to use/that except Medicare and
go from there. If you need to contact me and will give ex in how to get
info in order. BEST of luck on your journey! remember anything worth having
/doing can take sometime.DONT GIVE UP!
— tootsie52
May 6, 2009
I had RNY in March 2008. Medicare paid for mine--the only requirement was
that I had to have a BMI of 35 and at least one other co-morbidity, such as
HBP or diabetes, etc. I did not have to have any kind of documentation
such as that mentioned in the previous answer. I live in Missouri. I also
have TriCare4Life and they paid the balance so I didn't have to pay
anything out of pocket. Good luck!
— ShirleyF
May 7, 2009
Dear Ms: I don't know were you live but I live in Illinois I live in West
Chicag ,Il and I had both Medicare and Mecicaid and they paid My surgery
and all My 100% and I am sttill see My Surgen for fills on My Realize Band
so far In 1 month time I lost 11 lbs . and Had my insulin cut from 38 units
to 35 units a day and that is Lantus . i had no pain at all and I feel
great and I am 68 years old I am glad I had My surgery . My name is Ruth
Rowe .
— Ruth Rowe
May 7, 2009
Medicare covers the open & lap RNY, laparoscopic adjustable gastric
banding, and open & lap duodenal switch. They require that the
procedure be done in a facility designated as a Center of Excellence (find
these at www.cms.hhs.gov/center/coverage). You have to have a BMI of at
least 35 with at least 1 comorbidity due to obesity (such as high blood
pressure, sleep apnea, type 2 diabetes), and you must have failed at other
attempts to lose weight - you might have to go through a
medically-supervised weight loss program (including diet,exercise, and/or
prescription weight loss medications or any combination of the three) in
order to show that you have met that last criteria. Best of luck to you:)
— sem51
May 7, 2009
they should pay for your surgery if they hassel you keep on them they will
give in . dont give up good luck with your surgery .
— sandy fairweather
May 7, 2009
hi there, if you have medicare isnt that your primary insurance and the
other is secondary??? i have medicare too ask the person in the dr's office
and see if they can help. my dr did and she was great. good luck on the
journey to success
— paulette23
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