Waiting for Medicare to Approve

[mhpp 0]

Why woud Medicare cover the Gastric Bypass surgery but not the less evasive one like The Gastric Sleeve.???????? can someone help me understand this? I have been waiting to get the sleeve since December 2010.........

[Tiffykins 672]

They've been saying for over 2 years now that they'd pick it up "soon". . . I know it's unbelievably frustrating. Our insurance follow suit behind Medicare since it's government ran insurance as well.

The earliest I think we'd hear anything is going to be October because that's the fiscal year. At least that's how it works with Tricare.

[mhpp 0]

They've been saying for over 2 years now that they'd pick it up "soon". . . I know it's unbelievably frustrating. Our insurance follow suit behind Medicare since it's government ran insurance as well.

The earliest I think we'd hear anything is going to be October because that's the fiscal year. At least that's how it works with Tricare.

Thanks I currently have the lap band, i had the LB in 2007 my heaviest was 280lbs , i lost 85lbs between 2007-2010, now at 225lbs i am very interested in the gastric sleeve.

[zazzer 1]

They've been saying for over 2 years now that they'd pick it up "soon". . . I know it's unbelievably frustrating. Our insurance follow suit behind Medicare since it's government ran insurance as well.

The earliest I think we'd hear anything is going to be October because that's the fiscal year. At least that's how it works with Tricare.

That’s discouraging news, very frustrating, I’ve been waiting too. I’ve been emailing

Northeast Bariatric center Hazelton Pa they recently started doing the sleve. They implied that Medicare makes changes in February which is now.

I’ll still inquire later this month. I’ll post what I hear and I hope it's good news, but I know Tiffykins your sure doing your homework thanks for that.

Thanks . G

[annoymous 0]

Why woud Medicare cover the Gastric Bypass surgery but not the less evasive one like The Gastric Sleeve.???????? can someone help me understand this? I have been waiting to get the sleeve since December 2010.........

medicare c covers it CPT code is for VSG 43775 medicare C health partner (group health inc) and it should covered by medicare b by october 2011. medicare covers it now if you have serious liver problems your doctor must call the provider line and talk to the contractor with your situation, only the contractor can approve your claim and process it, if you lose you can appeal to the ALJ that is administration law judge. But you must have a serious liver problem by october it be for everyone stating next year as it cheaper for them than pass sad.