Insurance coverage

[yasky33 12]

I've went to Medicare website to find the requirements and my BMI is 58. Has anyone been approved right away or was it a 6 month wait?

[Jersrose43 837]

CMS federal guidelines are here. I skimmed did not see a pre surgery requirement period.

http://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=57&bc=AgAAgAAAAAAA&ncdver=3

Also if you have Medicare advantage they may add additional requirements like an EGD or other testing but have to be minimally the same

[yasky33 12]

No I just have regular Medicare. I meet the requirements. Just want to know how long do people get approved by meeting the BMI requirement

[cindyw41 761]

It really depends on the hospital and Surgeons requirements, if your insurance doesn't have stipulations. My dr requires a 6 month weight loss program. NUT visits,

Monthly classes and weigh ins, psych evaluation, and tests. Whether your insurance requires it or not.