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Medicare - Is anyone getting approved for VSG?



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

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

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

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

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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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Louisiana.. I was approved last week

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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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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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