noletrain 0 Posted May 11, 2013 Anyone been approved by Medicare? In specific what constitutes "Documented evidence (in your medical record) of repeated failure to lose weight in medically supervised weight loss programs". Share this post Link to post Share on other sites
Cedri 33 Posted May 11, 2013 I would refer you to this thread: http://www.lapbandtalk.com/topic/62888-medicare-will-approve-lap-band-surgery-approved-facilities-list/ Share this post Link to post Share on other sites
line-dancer 810 Posted May 11, 2013 Yes i did United healthcare insurance but they only paid 3 mos after care. My out of pocket for surger was $500. and I only needed my doctor to do the refural as well as the band doctor. Call your insurance company and they will tell you if you are cover and what you need to do and where u need to go good luck Share this post Link to post Share on other sites
DELETE THIS ACCOUNT! 12,703 Posted May 11, 2013 Medicare's requirements are changing all the time. I could be wrong, but last I knew you had to have a BMI of at least 40 or a BMI of 35 with at least 2 comorbidities. Your best bet is to talk to your surgeon's office. They'll know what's needed. Share this post Link to post Share on other sites