Medicare Decision Still Pending In Nyc

[Alexandra39 72]

So my long awaited surgeon's appointment was today. I have the Medicare; so I have all 6 months worth of progress notes completed, met with the nutritionist for the first time today, all documentation is ready to go (except for a letter I still need) I'm almost there and I was excited because I thought I would actually get a surgery day today. I've read the posts here about how Medicare coverage has been approved nationally on a case by case basis. I was told by my doctor's surgical/insurance coordinator that NY is still awaiting a decision. They had submitted paperwork for another patient and that's when they were told this news.

So I am waiting another month until I meet with my surgeon again. I have a strong preference for the VSG, however, if it seems like it will be too long of a wait for Medicare to decide...then I'll go ahead and get the lap band. It's so difficult to wait when you're so mentally ready for this though.

Let me know how it has gone with Medicare for all people in NYC. I have Medicare as my primary and Medicaid as my secondary.

Good Luck everyone!

[babygirl_sandy 85]

Hello and welcome... Well i'm here in Philadelphia and the surgeons office stated they are waiting on a submission date for paper work because Medicare does not pre approve anything they need another guarantee that they will cover the surgery other than the Memo they posted on their Web site. She also stated it could take 60_90 days for a date.. I know bummer!!

Sent from my SPH-D710 using VST

[Alexandra39 72]

Hi and Thanks

Well, that's good to hear....at least they are not thinking the wait will go beyond 3 months. I hope it goes through, I really do...Although from what I hear the last review here in NY wasn't so promising. I agree, Bummer that we still have to wait