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Medicare - Is anyone getting approved for VSG?

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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Does anyone have regular or classic medicare that was approved and they paid? I was told by my drs office that they still haven't reciever payment for some surgeries they did earlier this year. I have medicare and medaid. And I know there are no Pre approvals. Is a weight nutrition class required? It's not for the lap band and gastric bypass. Thanks in advance. I live in Brownsville Texas.

Does anyone have regular or classic medicare that was approved and they paid? I was told by my drs office that they still haven't reciever payment for some surgeries they did earlier this year. I have medicare and medaid. And I know there are no Pre approvals. Is a weight nutrition class required? It's not for the lap band and gastric bypass. Thanks in advance. I live in Brownsville Texas.

If you have Medicare and Medicaid; you shouldn't have to pay anything. Medicaid pays for anything that Medicare won't pay for (the 20%). In my case, Medicare (classic) didn't require weight and nutrition classes but I took a lot of them waiting for the sleeve to be covered. Your best bet would be to call Medicare and ask about your specific coverage. I hope this helps.
If you have Medicare and Medicaid; you shouldn't have to pay anything. Medicaid pays for anything that Medicare won't pay for (the 20%). In my case' date=' Medicare (classic) didn't require weight and nutrition classes but I took a lot of them waiting for the sleeve to be covered. Your best bet would be to call Medicare and ask about your specific coverage. I hope this helps.[/quote']

I have medicare and went to seminar in October so I switched to an advantage plan. I paid a lot less!!! I had to go for 6 months to see the nut.... All medicare requires that and I had to wait another 3 months for vsg to get approved in my state which didn't happen until Jan of this year. I paid $75 for the doc and another $200 to the hospital. The $75 includes all follow ups with surgeon and nut for one year

  • 5 months later...

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