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04-01-2008, 04:52 PM
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#1 (permalink)
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Senior Member
Join Date: Apr 2004 |
Location: Lancaster, PA (Born & raised in San Diego til 1/4/08) |
Surgeon: The Great Charles Callery MD |
Age: 35 |
Posts: 7,555 |
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Got medicare?
I stumbled across this website today, and this lady says she can help people with medicare get approved for WLS.
__________________
J.Bridget Fisher aka koi-pea
2/9/04 lap 5'11"
298/170-trying to lose another 10
www.myspace.com/caliclovercutie
What Sawyer would call me on LOST: ladybug
"People will argue with you that getting what you want in life isn’t something you can learn, if you’re destined to be one of the worlds winners as opposed to one of its perpetual whiners, its because you have been born with the right talents and temperament and have a big dose of self-esteem, ambition, and good judgment." Kate White
Last edited by bridgetgirl; 04-01-2008 at 07:21 PM.
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04-01-2008, 05:26 PM
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#2 (permalink)
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Senior Member
Join Date: Nov 2007 |
Age: 51 |
Posts: 104 |
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what is the website?
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04-01-2008, 07:27 PM
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#3 (permalink)
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Senior Member
Join Date: Apr 2004 |
Location: Lancaster, PA (Born & raised in San Diego til 1/4/08) |
Surgeon: The Great Charles Callery MD |
Age: 35 |
Posts: 7,555 |
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that would help, huh?
well I copied an article that I found, I am trying to find that website, like I said before I really did stumble across it.
There has been an ongoing debate about the coverage of some plastic surgery procedures by a health insurance providers and Medicare. While many procedures are purely cosmetic in nature, some like gastric byass surgery or breast reduction often fall into the category of “medically necessary.” Unfortunately, greedy insurance companies have refused to pay for them or give patients a very hard time before they do it.
In a reversal of policy, Medicare now says that it will pay for obesity surgery for disabled patients (younger than 65). There is no doubt that bariatric surgery is risky, but it is also the only alternative for hundreds of thousands of people who cannot lose weight by simply dieting and exercising.
So what is the requirement that one can get Medicare to pay for your obesity surgery? You should be able to demonstrate that you have at least one obesity-related health condition and everything else has failed for you. Plus, you may not be able to go to a Beverly Hills plastic surgeon. On the other hand, in all respects you would be operated upon like any other surgery patients in a facility approved by Medicare.
Will American insurers change their policies? No one knows.
__________________
J.Bridget Fisher aka koi-pea
2/9/04 lap 5'11"
298/170-trying to lose another 10
www.myspace.com/caliclovercutie
What Sawyer would call me on LOST: ladybug
"People will argue with you that getting what you want in life isn’t something you can learn, if you’re destined to be one of the worlds winners as opposed to one of its perpetual whiners, its because you have been born with the right talents and temperament and have a big dose of self-esteem, ambition, and good judgment." Kate White
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04-01-2008, 07:32 PM
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#4 (permalink)
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Senior Member
Join Date: Apr 2004 |
Location: Lancaster, PA (Born & raised in San Diego til 1/4/08) |
Surgeon: The Great Charles Callery MD |
Age: 35 |
Posts: 7,555 |
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okay, okay I found it. It looks like this lady can help with getting procedures authorized...?
http://www.joannenarayan.com/
__________________
J.Bridget Fisher aka koi-pea
2/9/04 lap 5'11"
298/170-trying to lose another 10
www.myspace.com/caliclovercutie
What Sawyer would call me on LOST: ladybug
"People will argue with you that getting what you want in life isn’t something you can learn, if you’re destined to be one of the worlds winners as opposed to one of its perpetual whiners, its because you have been born with the right talents and temperament and have a big dose of self-esteem, ambition, and good judgment." Kate White
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04-01-2008, 09:22 PM
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#5 (permalink)
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Senior Member
Join Date: Nov 2007 |
Age: 51 |
Posts: 104 |
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from my understanding to have the wls you have to be 100 lbs overweight. I am about to start my process using medicare so hopefully I will know more soon. I will get my medicare in July. thanks for the link!
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04-01-2008, 09:26 PM
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#6 (permalink)
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Senior Member
Join Date: Nov 2007 |
Age: 51 |
Posts: 104 |
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I am wondering if this is a real person/service? you can't click anything on the site but they want info. kind of leary to fill it out myself.
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04-03-2008, 07:25 PM
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#7 (permalink)
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Senior Member
Join Date: Jan 2007 |
Location: East Alton,IL |
Surgeon: Dr.Eagon, Barnes Jewish Hospital, St. Louis |
Age: 32 |
Posts: 806 |
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I did
I have medicare and they paid for my gbs 100% and then months later as we all know i became ill and they paid 100% of my reversal. Medicare does pay for gbs and lapband. 
__________________
Laura
220/216/119/115
highest/pre-op/current/goal
Height 5'1
[color="Blue"]113 POUNDS GONE OR]
04/11/07...Had surgery!!! my nerves were still wacky but hey i did it!!
size before surgery was 18 now size 5
Being reversed on Jan 18 I cant wait!!!!!!!!
I WAS REVESED ON JAN 18,2008 NOT EVEN A YEAR OUT!!
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04-05-2008, 07:55 PM
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#8 (permalink)
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Senior Member
Join Date: Nov 2007 |
Age: 51 |
Posts: 104 |
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iward did you have a supplemental insurance? did you not have a copay on that? also I am wondering if they pay for all the testing that is to be done with specialist preop stuff
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05-23-2008, 07:54 PM
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#9 (permalink)
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Senior Member
Join Date: May 2008 |
Location: Florida,Tampa Area |
Surgeon: Michel Murr |
Posts: 244 |
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I was told all my pre-opp testing would be out of pocket... Which dosent seem fair since its required to have the surgery..
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05-24-2008, 09:53 AM
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#10 (permalink)
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Senior Member
Join Date: Nov 2007 |
Location: Phoenix, AZ |
Surgeon: Dr. Steven Simon |
Age: 37 |
Posts: 2,928 |
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wow Bridget thank you. i have known a few folks who had medicare and have GBS so i'm confused do they pay for the plastics after? geesh must be nice if they do
__________________
Deborah (before sugery)
Highest/Day of Sugery/ CURRENT/Goal
268/262 / 195 / 130
Surgery Date: 12/18/07 Lap RNY
Onderland Reached 7/21/08
Gym Rat #98
Scale W #2
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