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Medicare/medicaid

Does it pay for revision surgery to RNY

  • Replies 4
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  • businessmom2011
    businessmom2011

    My doctor's office has said that Medicare would definitely cover my lap band removal and upgrade (as I call it) to the gastric bypass. When I got my band in 2007 I went from 340 to 320 and then that

  • ThinnerMe2015
    ThinnerMe2015

    @@businessmom2011 do you still have the name of the website for the psych eval to post it here just in case someone else may need to use their services. I have Medicare/Medicaid I am so hoping I don't

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I would have your surgeons office send the paper work to Medicare and see if they will cover it.

I know that they will cover regular gastric bypass surgery.

Good luck to you and let us know the answer if you don't mind.

  • 1 month later...

My doctor's office has said that Medicare would definitely cover my lap band removal and upgrade (as I call it) to the gastric bypass.

When I got my band in 2007 I went from 340 to 320 and then that was the end of it. I started regaining and well to make a long story short I am now 373.

So for me, the band has failed BIG TIME and now we are doing both the SAME DAY. Remove band and do gastric.

I had to have an upper GI SERIES xray, a sleep study to check for apnea, and 3 months of nutritionist meetings. I also needed a psych eval. which Medicare does NOT PAY FOR. I do not have $400 to pay for one so while searching online I found a website that does not take Medicare, but they only charge $100 and they are EXTREMELY fast and very efficient.

I took a test online and the results were forwarded to them and then a certified psychiatrist will call you when you schedule a day and time at your leisure. I did mine on a Tuesday morning and the report came in to my doctor's office on Friday.

My doctor's office has said that Medicare would definitely cover my lap band removal and upgrade (as I call it) to the gastric bypass. When I got my band in 2007 I went from 340 to 320 and then that was the end of it. I started regaining and well to make a long story short I am now 373. So for me, the band has failed BIG TIME and now we are doing both the SAME DAY. Remove band and do gastric. I had to have an upper GI SERIES xray, a sleep study to check for apnea, and 3 months of nutritionist meetings. I also needed a psych eval. which Medicare does NOT PAY FOR. I do not have $400 to pay for one so while searching online I found a website that does not take Medicare, but they only charge $100 and they are EXTREMELY fast and very efficient. I took a test online and the results were forwarded to them and then a certified psychiatrist will call you when you schedule a day and time at your leisure. I did mine on a Tuesday morning and the report came in to my doctor's office on Friday.

My mother needs a revision from the band to bypass, but our doctor said Medicare doesn't cover a revision. Do you mind me asking what state you love in?

  • 5 months later...

@@businessmom2011 do you still have the name of the website for the psych eval to post it here just in case someone else may need to use their services. I have Medicare/Medicaid I am so hoping I don't have to pay out of pocket, but if I do I would like to contact this place for only $100. My referral coordinator said she was using some kinda codes and doing something so I would have totally free surgery, where my two insurances cover everything, but to be safe I would like the name of that website please.

Edited by ThinnerMe2015

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