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

does medicaid pay for lap band (not medicare but medicaid)



Recommended Posts

first of all I do need SO MUCH help with how to get approved by medicaid. I feel so confused! And another thing after I post this I dont know how to check if i get any replies so if anyone could message me on my profile and tell me know i even check back to see the replies that woul be great! or email me at Laura7420@hotmail.com and put in subject from "lapbandtalk.com reply about medicaid" or something so i dont delete it! THANK YOU!

Share this post


Link to post
Share on other sites

Laura my first step would be to call

1-800-lap-band

you tell them where you live, what insurance you have

and they will tell you whats up. Like where to go to

a seminar, what doctor to see and if it covers you which it

should. Just call the number and someone from there

will help you

:)

Share this post


Link to post
Share on other sites

Hi I also live in IL Paris IL and looking for information on doctors that take medicaid near me. any information is welcome I am at my hights weight ever . I am diabetic, sever arthrisis, IH,ACM1,sleep apena,bulding hurnia in spine,& a hurnia above my belle button

Share this post


Link to post
Share on other sites

I live in PA and am disabled and on Medicaid does anyone know

if they pay, and what all do you have to do. I want this bad I

have a BMI of over 40.

Thanks for any information anyone has. :blushing:

Karen

Hi karen my name is amber i am from berlin pa and i was wondering if you ever got approved by access.

Share this post


Link to post
Share on other sites

Hi Amber

I am now going through the steps to be approved.

call 1-800-lap band and explain to them what insurance you

have and they will tell you what you have to do.

I have to see my pcp for 4 to 6 months straight and do a

diet with him and he fills out the papers and summits them to the surgions office.

have you gone to a seminar yet that would be your first step. and from there they will lead you the rest of the way.

let me know whats up with you

:smile2:

Share this post


Link to post
Share on other sites

Karen,

i am going to a seminar on Jan 9th at somerset hospital!!! Good luck with your journey. keep in touch. let me know how everything goes!!!!

Share this post


Link to post
Share on other sites

I have primary insurance (which denied everything since it's not a covered benefit) and I have Medicaid for my secondary insurance. Each state is DIFFERENT, dont forget that! My medicaid insurance company was actully "closing doors to state insurance" when I was obtaining approval for surgery in November and they denied it, and denied the appeal. So on Dec 1st the new Medicaid insurance went into effect and on 12/3 I had my approval and a letter was sent to me. My primary insurnace doesnt cover a thing so the medicaid will cover as secondary.

The first thing you can do is CALL your insurance company and ask them if it's a covered benefit and what the conditions to the benefit are. If it's a covered benefit, write down who you spoke with and the time becuase if you need to appeal when it's time for approval, that makes it easier.

Share this post


Link to post
Share on other sites

i don't know if this will help anyone but in missouri, university hospital in columbia does accept medicaid for the lap band surgery. i was told this yesterday by st. johns hosp. luckly i have medicare and medicaid so st johns in springfield missouri is doing mine... i am at the beginning of the process but i don't have a doubt that i will be approved. i am on 16 different medications a day, i have diabetes, CHF, high blood pressure. and have had a heart attack 4 years ago.my family doc said its an excellent idea to go with because it would definately get me off alot if not all of my meds.

Share this post


Link to post
Share on other sites

Well I wish you good luck in your Weight loss journey! I have applied for Lap band surgery, and I am waiting on word from them. I am very excited to see my new future beginning, as i am sure you are too!:rolleyes2:

Share this post


Link to post
Share on other sites

Yes Medicaid in Texas will pay for lapband

has to be a Center Of Excellence

contact me for more Info Id love to help out:thumbup:

Share this post


Link to post
Share on other sites

I have "traditional medicaid" and live in DFW area of Texas. My BMI is 42 with high blood pressure and sleep apnea, (no sleep study done yet, the cardiologist told me I had it while I was hospitalized for the BP). I have severe problems sleeping more than 2 or 3 hours at a time, and cannot climb stairs (- 1 flight). I have desperately been trying to find a doctor in the DFW area that accepts Medicaid. I cannot even find a doctor, seems that Medical city hospital accepts medicaid, but none of their doctors in their bariatric dept. accept medicaid. Can someone please help me?:smile:

Share this post


Link to post
Share on other sites

i am from missouri and the only place here that i know of that takes only medicaid is university hosp. in columbia missouri. my daughter will be having hers done there. i am having mine done in st johns in springfield missouri because they accept medicare and medicaid together. but will not do medicaid by itself.

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

    ×