Medicare

[Grider 92]

So I had a lap band - approved by Fed BCBS in 2011, they also approved the removal of it 2021. Now it’s 2022 and Medicare is my primary and FedBCBS is second. They said will just piggy back from what Medicare won’t cover.
Anyone here have experience with Medicare? Wait times once the pkg is submitted? Any info would help. Just getting started, and going through the process 3 mo dietician- psych appt etc. even though I have Gastroparesis now. Thanks

[Toomany#s 59]

Medicare is my primary and I have a plan G supplement. They covered my surgery. I don’t think they even do official pre-approvals. I started process in September and had surgery in March, but it would have been sooner if I had gotten all my stuff done right away. Good luck to you.

[GradyCat 3,697]

Medicare is my primary and I have a supplement. They approved my sleeve surgery without any issues.

[Grider 92]

Do you remember how long it took. I’m hoping to have surgery before schools start so my grand can be here. She drives etc. if not people have to leave work etc . Trying to avoid it. Thanks

[kevinabraham 0]

I do know that Medicare is generally pretty good about covering medical procedures that are deemed medically necessary. I also know that it's important to have a good understanding of your policy and coverage to ensure you have the best chance of getting your procedure covered. I came across this resource for health insurance for entrepreneurs, which may be helpful for you: https://ibgportland.com/health-insurance/health-coverage-for-oregon-small-business-owners-and-entrepreneurs . It's always helpful to have a good insurance agent who can help you understand your policy and guide you through the process.

Edited January 20, 2023 by kevinabraham

[AlexWentworth 0]

I remember when my dad had to deal with Medicare a few years back. It was a whole ordeal, from filling out forms to waiting for approvals. But once everything was in order, it was a relief knowing he had coverage.
As for wait times, it can vary, but typically they try to process stuff as quickly as possible. My dad had to wait a bit, but nothing too crazy. It's all about staying patient and following up if things take longer than expected.
Also, I've been tossing around the idea of getting life insurance lately, you know, just to make sure my fam's looked after if anything goes south. Came across this site, Pure Cover, might be worth a look: https://purecover.co.uk/

Edited May 31, 2024 by AlexWentworth