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does medicaid pay for lap band (not medicare but medicaid)

i am getting a lit confused. i keep hearing about medicare paying for surgery. i am 24 5'5 and wiegh 245lbs. i have back problems and knee problems. my bmi is 42 so under a group insurance i would quilify but i dont have a job that offers any insurance. i am a low income person and would love to her from someone that has had this type of situation!!

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Laura my first step would be to call

1-800-lap-band

you tell them where you live, what insurance you have

and they will tell you whats up. Like where to go to

a seminar, what doctor to see and if it covers you which it

should. Just call the number and someone from there

will help you

:)

Hi I also live in IL Paris IL and looking for information on doctors that take medicaid near me. any information is welcome I am at my hights weight ever . I am diabetic, sever arthrisis, IH,ACM1,sleep apena,bulding hurnia in spine,& a hurnia above my belle button

  • 2 weeks later...
I live in PA and am disabled and on Medicaid does anyone know

if they pay, and what all do you have to do. I want this bad I

have a BMI of over 40.

Thanks for any information anyone has. :blushing:

Karen

Hi karen my name is amber i am from berlin pa and i was wondering if you ever got approved by access.

Hi Amber

I am now going through the steps to be approved.

call 1-800-lap band and explain to them what insurance you

have and they will tell you what you have to do.

I have to see my pcp for 4 to 6 months straight and do a

diet with him and he fills out the papers and summits them to the surgions office.

have you gone to a seminar yet that would be your first step. and from there they will lead you the rest of the way.

let me know whats up with you

:smile2:

Karen,

i am going to a seminar on Jan 9th at somerset hospital!!! Good luck with your journey. keep in touch. let me know how everything goes!!!!

  • 2 weeks later...

i live in md and i was wondering if my state insurance would pay for surgery i am 31 and i weigh 325lbs

I have primary insurance (which denied everything since it's not a covered benefit) and I have Medicaid for my secondary insurance. Each state is DIFFERENT, dont forget that! My medicaid insurance company was actully "closing doors to state insurance" when I was obtaining approval for surgery in November and they denied it, and denied the appeal. So on Dec 1st the new Medicaid insurance went into effect and on 12/3 I had my approval and a letter was sent to me. My primary insurnace doesnt cover a thing so the medicaid will cover as secondary.

The first thing you can do is CALL your insurance company and ask them if it's a covered benefit and what the conditions to the benefit are. If it's a covered benefit, write down who you spoke with and the time becuase if you need to appeal when it's time for approval, that makes it easier.

  • 3 months later...

i don't know if this will help anyone but in missouri, university hospital in columbia does accept medicaid for the lap band surgery. i was told this yesterday by st. johns hosp. luckly i have medicare and medicaid so st johns in springfield missouri is doing mine... i am at the beginning of the process but i don't have a doubt that i will be approved. i am on 16 different medications a day, i have diabetes, CHF, high blood pressure. and have had a heart attack 4 years ago.my family doc said its an excellent idea to go with because it would definately get me off alot if not all of my meds.

Well I wish you good luck in your Weight loss journey! I have applied for Lap band surgery, and I am waiting on word from them. I am very excited to see my new future beginning, as i am sure you are too!:rolleyes2:

Yes Medicaid in Texas will pay for lapband

has to be a Center Of Excellence

contact me for more Info Id love to help out:thumbup:

I have "traditional medicaid" and live in DFW area of Texas. My BMI is 42 with high blood pressure and sleep apnea, (no sleep study done yet, the cardiologist told me I had it while I was hospitalized for the BP). I have severe problems sleeping more than 2 or 3 hours at a time, and cannot climb stairs (- 1 flight). I have desperately been trying to find a doctor in the DFW area that accepts Medicaid. I cannot even find a doctor, seems that Medical city hospital accepts medicaid, but none of their doctors in their bariatric dept. accept medicaid. Can someone please help me?:smile:

i am from missouri and the only place here that i know of that takes only medicaid is university hosp. in columbia missouri. my daughter will be having hers done there. i am having mine done in st johns in springfield missouri because they accept medicare and medicaid together. but will not do medicaid by itself.

i am from missouri and the only place here that i know of that takes only medicaid is university hosp. in columbia missouri. my daughter will be having hers done there. i am having mine done in st johns in springfield missouri because they accept medicare and medicaid together. but will not do medicaid by itself.alsp look on the posts. fatman903 says texas medicaid does pay. it has to be a center of excellence in bariatric surgery.

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