Does peach state

[J, lynn81 0]

Does peach state pay for this surgery?

[hills&valleys 130]

Are you talking about Georgia? If you have private or company insurance, that depends on your plan. As far as the State's Medicaid plan, you will need to contact them directly to get the specifics and their criteria. Not all bariatric surgeons will accept Medicare or Medicaid patients because of the extreme discount rates of assignment. In general Medicare and Medicaid pay less than half of what other insurance companies pay.

[Lisa XO 117]

On 2/22/2023 at 11:54 PM, J, lynn81 said:

Does peach state pay for this surgery?

I couldn't find any specific answers to this but I did learn that weight loss surgeries are considered "cosmetic" by PSHP. I think you are going to have to call to find out for sure what is paid or not paid and when.

Here is the document listing the cosmetic classification:
https://www.pshpgeorgia.com/content/dam/centene/policies/payment-policies/CC.PP.024.pdf