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Medicare Coverage Of Fills, How Much Does It Cost You?



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Hello,

When I was banded back in 07, my fills were free. Now they're telling me I need to go through my medicare. I don't understand why it's no longer covered. Does anybody pay through Medicare, if so, what is your 20% payment? I need to prepare myself.

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Medicare paid $14,000 out of the $16,000 bill + 1 yr of fills. Now, 2 1/2 yrs later, I pay for all of my adjustments. That's what I thought Medicare paid - only for the first year. Is this not true? I pay $160 for my last 3 fills.

My understanding of Medicares coverage of the Lapand is: BMI of >40, at least 1 comorbidity. 1 nite in the hospital is required. Everything for the first year is covered and then it's up to me.

Inform me if I'm wrong. I'd love for Medicare to pay for my fill tomorrow!

Marci

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I have supplemental insurance, with what Medicare paid and my insuracne(Aetna), my portion is $5.00.

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Medicare just approved me for 6 visits. I had lap band done April 2011 with another doctor. Both doctors are in the Melbourne, Fl I changed doctors even though I paid $3,700.00, as the orginal doctor just tighen my band even though I developed numerous lung infections due to reflux. My copay currently is $25.00 per fill/visit.

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