Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Has Anyone Had Sleeve Approval Thru Medicare Coverage?



Recommended Posts

I am looking to hear from the senior sleevers to determine if it is possible to be approved for the sleeve with medicare coverage? and if so, What doctor they would recommend in the Dallas,TX area?

Share this post


Link to post
Share on other sites

not a senior or in texas BUT i have medicare through connecticut and i know they def approve it. i met another sleever from CT on here she approved in 5 days!!!

Share this post


Link to post
Share on other sites

not a senior or in texas BUT i have medicare through connecticut and i know they def approve it. i met another sleever from CT on here she approved in 5 days!!!

Thank you tatylish for the response. I am already approved and scheduled for surgery on October 11, 2012. I was inquiring to see if it was possible to get my mom on the losing bench..!

Share this post


Link to post
Share on other sites

If you GOGGLE enough you can find the doctor and his committee who will OK Medicare for your state, despite the fact the the FEDS ok-ed. In California it is DR. Morton at Standford who emailed me back and said they are meeting in November. I think politics are involved, so after election! I have everything done for preop for 3 months and waiting. . . .I really think the sleeve makes the most sense! Good luck to all!

Share this post


Link to post
Share on other sites

If you GOGGLE enough you can find the doctor and his committee who will OK Medicare for your state' date=' despite the fact the the FEDS ok-ed. In California it is DR. Morton at Standford who emailed me back and said they are meeting in November. I think politics are involved, so after election! I have everything done for preop for 3 months and waiting. . . .I really think the sleeve makes the most sense! Good luck to all![/quote']

Thank you, I was able to get all the information I needed on this subject from my surgeon. He provided me with name of the hospital that accept medicare and following that lead the hospital provided me with a list of surgeona that accept that insurance... I forwarded the information to my mom and she is well on her way to starting the process!

Share this post


Link to post
Share on other sites

Yes, it does cover the surgery but be prepared to jump through more hoops. I have two insurances. Atena and Medicare and Medicare required a longer wait of 6 months while Atena was 3 months. Atena was my primary and Medicare picked up the remainder so I was under the rules of the fast track Atena.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×