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Does medicaid cover lapband surgery?

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Started by dimples, Nov 22, 2005 8:16 PM
29 replies to this topic
29 replies to this topic

    dimples

    Novice

  • Posts: 15
  • Joined: Nov 2005
  • Location: FLORIDA
  • Surgery: LAP-BAND
Posted November 22, 2005 - 8:16 PM

#1
Can someone tell me if medicaid covers lapband surgery, and is it the same requirments as regular insurance?


    Alexandra

    Bariatric Legend

  • Posts: 6,675
  • Joined: Jul 2003
  • Gender: Female
  • Location: NJ
  • Surgery: LAP-BAND
  • My Blogs
Posted November 22, 2005 - 8:31 PM

#2
Hi Dimples,

Again, Medicaid differs from state to state. My guess, though, is that if bariatric surgery were medically necessary, AND one were able to find a bariatric surgeon who accepts Medicaid patients (very difficult, I'd think), it would be covered. But that's just a guess.


    julieplunk

    Country Angel

  • Posts: 48
  • Joined: Nov 2005
  • Location: TEXAS
  • Surgery: LAP-BAND
  • My Blogs
Posted November 23, 2005 - 1:30 AM

#3
I am currently on Medicaid in Texas and it is to my understanding that if you have co morbidities associated with morbid obesity that medicaid will cover bariatric surgery because they consider it a medically necessary .. I am currently looking for a doctor that will accept medicaid will keep you posted..


    dimples

    Novice

  • Posts: 15
  • Joined: Nov 2005
  • Location: FLORIDA
  • Surgery: LAP-BAND
Posted November 23, 2005 - 9:24 AM

#4
Thanks If I find out I will let everyone know I have had my tonsils removed on medicaid but that's different.


    msdimples29

    Intermediate Member

  • Posts: 27
  • Joined: Feb 2005
  • Surgery: LAP-BAND
Posted November 23, 2005 - 11:44 AM

#5
Dr Maese's office in Dallas accepts Medicaid for Lap-Band. Just FYI. His full name is Dr. Fred Maese. I don't have the #, but he is on Sherry Lane in Dallas, TX. Hope this helps someone. Have a great Thanksgiving.


    Tricia K.

    Proud mommy!

  • Posts: 1,771
  • Joined: Oct 2005
  • Gender: Female
  • Location: LOUISIANA
  • Surgery: LAP-BAND
Posted November 23, 2005 - 11:49 AM

#6

Dr Maese's office in Dallas accepts Medicaid for Lap-Band. Just FYI. His full name is Dr. Fred Maese. I don't have the #, but he is on Sherry Lane in Dallas, TX. Hope this helps someone. Have a great Thanksgiving.

Maese, Fred MD - Band New Life
Address: 210 W 6th St, Ferris, TX 75125 Phone:(972) 842-3911


    dimples

    Novice

  • Posts: 15
  • Joined: Nov 2005
  • Location: FLORIDA
  • Surgery: LAP-BAND
Posted November 23, 2005 - 12:45 PM

#7
Thank you guys soooo much. I am going to call Dr. Maese. If I have to go to dallas I will.


    Mariposa Bella

    aka Miss April

  • Posts: 873
  • Joined: Nov 2004
  • Location: FLORIDA
  • Surgery: LAP-BAND
Posted November 23, 2005 - 1:27 PM

#8
You should really check into it. I live in Florida and this lady I know had the gastric bypass surgery at the Cleveland Clinic in Fort Lauderdale and it was fully paid by Medicaid. She just had a tummy tuck or body lift and it covered that procedure as well. So check into it. You might be able to get it done.


    dimples

    Novice

  • Posts: 15
  • Joined: Nov 2005
  • Location: FLORIDA
  • Surgery: LAP-BAND
Posted November 23, 2005 - 4:56 PM

#9
Thank you Mariposa I have am so afraid that my surgery will not get covered by my job. I have aetna. Where do you live down here I live in lauderdale lakes which is in Ft. lauderdale. I wish I knew some people close to me that have had the surgery. I am going to a semiar on monday the 28th of November, and can't wait. How long after should I expect to wait for my surgery pre-op things to be done including insurance stuff? Thanks again for responding to my questions. God Bless you.


    Alexandra

    Bariatric Legend

  • Posts: 6,675
  • Joined: Jul 2003
  • Gender: Female
  • Location: NJ
  • Surgery: LAP-BAND
  • My Blogs
Posted November 23, 2005 - 8:07 PM

#10
Dimples, I don't know about Florida but in New Jersey if you have or are eligible for insurance through your employer you're NOT eligible for Medicaid. But maybe things are different in FL.

As far as how long you have to wait for the insurance stuff to be done, it's largely in your hands. Stay on top of your doctors, make sure you get copies of all test results so you know when they've been delivered to the surgeon, and then CALL the insurer to be sure it has received everything. Once all the paperwork is in their hands and the file is complete, the carrier really should be able to deliver a decision (approval or denial) quite quickly. 30 days is the statutory maximum here in NJ, and your state probably has one also. But if all the paperwork is complete it shouldn't take that long. By FAR the most time-consuming thing is getting all the information into the right hands.


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