Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Medicare - Is anyone getting approved for VSG?



Recommended Posts

If you've been approved for VSG by Medicare (or have been told by your surgeon's office that you should be approved), please post and tell us which state you live in. Also, if you know, does your state have an upper age limit for VSG?

Thanks so much...many of us trying to figure out the Medicare rules and regs, which vary by state.

Share this post


Link to post
Share on other sites

Hi scsleever: I'm still looking my doctors office says this month like the 15th but no garantee... I live In Washington having sleeve surgery in Oregon they are both in the same district... my last appointment is friday 1/11/13 I need it to happen now I dont want to wait any longer... where do you live there is only 6 states left not to cover the sleeve I meet all requierments ...its making me sick just worring all the time... Debi

Share this post


Link to post
Share on other sites

I did see some where that they were going to remove the restriction I will see if I can find it again I have looked at so much if I find I will post it ...Debi

Share this post


Link to post
Share on other sites

I had Medicare and it paid for my sleeve. I live in Ohio.

Share this post


Link to post
Share on other sites

I had Medicare and it paid for my sleeve. I live in Ohio.

Hi, I was wondering did Medicare pay for the whole surgery, or did you have to pay out of pocket? I was under the impression Medicare only paid 80% and the other 20% was out of pocket?

Share this post


Link to post
Share on other sites

avonangel23,

If you have normal Medicare, they will only pay 80%...many people carry a supplemental insurance plan to cover the remaining 20%.

However, if you have a Medicare Advantage plan, the rules are very different.

Your best bet is to find your health plan documents and read them.

Share this post


Link to post
Share on other sites

I'm approved AARP SecureHorizon/Medicare 1/25/2013 for the gastric sleeve !!!!!

Share this post


Link to post
Share on other sites

I am soooo glad for you!!!!! I noticed you have bewn checking for a while! My mom here in Texas, was approved too!!!! Congrats!

Share this post


Link to post
Share on other sites

Do yoU have to be a certain age for Medicare ? Or Medicade? I think I'm a little confused on this. Or is it apart of your insurance?

Share this post


Link to post
Share on other sites

I live in ARkansas and medicare does pay for the sleeve here......

Share this post


Link to post
Share on other sites

Hi, i have medicare and they paid for 80% i'm 43 and live in Arizona.

Share this post


Link to post
Share on other sites

I live in ARkansas and medicare does pay for the sleeve here......

Ditto! Just was sleeved a few days ago in Arkansas! Woo Pig Souie!

Share this post


Link to post
Share on other sites

Louisiana.. I was approved last week

Share this post


Link to post
Share on other sites

I have Medicare and supplemental insurance; I was approved for surgery. My surgery date is April 8th and I live in Oregon. I believe there is an age limit on the proceedure; Medicare will only pay for those 60 or younger. The MAC for Oregon is Noridian.

Share this post


Link to post
Share on other sites

Waiting on my date... Live in Ft. Worth Texas, as of 1/3/2013, my Dr Office says that Medicare covers 80% of Gastric Sleeve

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×