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General Vertical Sleeve Gastrectomy Discussions Discuss anything related to the vertical sleeve gastrectomy.

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Old 10-10-2008, 06:40 AM   #1 (permalink)
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Default Does Medicare cover the sleeve?

I am on Medicare due to a disability and I was wondering if Medicare covered the sleeve. I was thinking they may not because it is too new and the isn't a lot of facts on outcomes on it. They covered my band, but that took medicare awhile to do also.

My surgeons office has never submitted a claim to medicare for the sleeve. When I called medicare the lady seemed like she wasn't 100% sure, but she said it didn't look like they did.

So, if medicare doesn't cover this procedure then I can't get it. I just don't have the money to get it, not even in Mexico.

My surgeons office suggested I go for the RNY but that isn't what I wanted and I am afraid of the whole re-routing the intestines thing. I don't want to go through all that dumping and other issues RNY patients have. I will have to wait until medicare sees the sleeve as a go for their insurance and cover it. That will probably take a few years.

This truely sucks!!!!
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Old 10-10-2008, 06:48 AM   #2 (permalink)
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May I ask why you are looking into the sleeve? Was there a problem with your band?
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Old 10-14-2008, 08:01 AM   #3 (permalink)
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yes, there are problems with my band that I posted in other threads on the VSG section. I wouldn't go for another surgery if the band was working or ok for me. That is why my surgeon suggested the sleeve, but I guess he wasn't sure about my insurance.
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Old 11-06-2008, 05:33 PM   #4 (permalink)
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Medicare does NOT cover the sleeve because the FDA has not approved it and it is still viewed as experimental.

I can't get this type of weight loss surgery, so I have to wait. I can't afford out of pocket.

I am extremely disappointed!!!!
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