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Medicare - Is anyone getting approved for VSG?

scsleever

By scsleever, in Insurance & Financing

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scsleever    104

scsleever
Posted

If you've been approved for VSG by Medicare (or have been told by your surgeon's office that you should be approved), please post and tell us which state you live in. Also, if you know, does your state have an upper age limit for VSG?

Thanks so much...many of us trying to figure out the Medicare rules and regs, which vary by state.

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debiosbo    36

debiosbo
Posted

Hi scsleever: I'm still looking my doctors office says this month like the 15th but no garantee... I live In Washington having sleeve surgery in Oregon they are both in the same district... my last appointment is friday 1/11/13 I need it to happen now I dont want to wait any longer... where do you live there is only 6 states left not to cover the sleeve I meet all requierments ...its making me sick just worring all the time... Debi

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debiosbo    36

debiosbo
Posted

I did see some where that they were going to remove the restriction I will see if I can find it again I have looked at so much if I find I will post it ...Debi

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mokee    588

mokee
Posted

I had Medicare and it paid for my sleeve. I live in Ohio.

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avonangel23    0

avonangel23
Posted

I had Medicare and it paid for my sleeve. I live in Ohio.

Hi, I was wondering did Medicare pay for the whole surgery, or did you have to pay out of pocket? I was under the impression Medicare only paid 80% and the other 20% was out of pocket?

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scsleever    104

scsleever
Posted

avonangel23,

If you have normal Medicare, they will only pay 80%...many people carry a supplemental insurance plan to cover the remaining 20%.

However, if you have a Medicare Advantage plan, the rules are very different.

Your best bet is to find your health plan documents and read them.

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debiosbo    36

debiosbo
Posted

I'm approved AARP SecureHorizon/Medicare 1/25/2013 for the gastric sleeve !!!!!

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Diamondeyed    399

Diamondeyed
Posted

I am soooo glad for you!!!!! I noticed you have bewn checking for a while! My mom here in Texas, was approved too!!!! Congrats!

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rxtine    20

rxtine
Posted

Do yoU have to be a certain age for Medicare ? Or Medicade? I think I'm a little confused on this. Or is it apart of your insurance?

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bunchlane1    14

bunchlane1
Posted

I live in ARkansas and medicare does pay for the sleeve here......

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Frank69    157

Frank69
Posted

Hi, i have medicare and they paid for 80% i'm 43 and live in Arizona.

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Mastiff_mama    171

Mastiff_mama
Posted

I live in ARkansas and medicare does pay for the sleeve here......

Ditto! Just was sleeved a few days ago in Arkansas! Woo Pig Souie!

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Bebee    33

Bebee
Posted

Louisiana.. I was approved last week

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Yoli3925    67

Yoli3925
Posted

I have Medicare and supplemental insurance; I was approved for surgery. My surgery date is April 8th and I live in Oregon. I believe there is an age limit on the proceedure; Medicare will only pay for those 60 or younger. The MAC for Oregon is Noridian.

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Marcant4522    4

Marcant4522
Posted

Waiting on my date... Live in Ft. Worth Texas, as of 1/3/2013, my Dr Office says that Medicare covers 80% of Gastric Sleeve

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
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