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Does Anyone Know If Medicare Covers The Lap Band?

Discuss Lap Band Surgery

Does Anyone Know If Medicare Covers The Lap Band?

Postby Marden » Wed Jun 28, 2017 3:53 am

I had lap band and I had Medicare Insurance and they paid.
You have to meet their criteria and I did qualified.
They have already paid off within 45 days.
I had my surgery 4-16-08 and I am down 58 pounds and lots of inches.
I live in Texas, Red Oak.

Oh Ben F doesn't know what he is talking about.
Medicare is my primary insurance.
Marden
 
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Does Anyone Know If Medicare Covers The Lap Band?

Postby Naalnish » Wed Jun 28, 2017 4:00 am

Yes and no, depending upon the type of lap band.
Depending upon the way the band is constructed and installed determines whether or not it is covered...based upon a decision they made in 2006 that some forms of bariatric surgery were sound, medically-necessary treatments.

The 2/2006 decision by Medicare:

The Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is adequate to conclude that open and laparoscopic Roux-en-Y gastric bypass (RYGBP), laparoscopic adjustable gastric banding (LAGB), and open and laparoscopic biliopancreatic diversion with duodenal switch (BPD/DS), are reasonable and necessary for Medicare beneficiaries who have a body-mass index (BMI) > 35, have at least one co-morbidity related to obesity, and have been previously unsuccessful with medical treatment for obesity.

CMS has determined that covered bariatric surgery procedures are reasonable and necessary only when performed at facilities that are: (1) certified by the American College of Surgeons (ACS) as a Level 1 Bariatric Surgery Center (program standards and requirements in effect on February 15, 2006); or (2) certified by the American Society for Bariatric Surgery as a Bariatric Surgery Center of Excellence (BSCOE) (program standards and requirements in effect on February 15, 2006).

A list of approved facilities and their approval dates will be listed and maintained on the CMS Coverage Web site at www.cms.hhs.gov/center/coverage.asp, and will be published in the Federal Register.
Naalnish
 
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Does Anyone Know If Medicare Covers The Lap Band?

Postby Kerrigan » Wed Jun 28, 2017 4:01 am

i dont imagine it ought to conceal any of it, regardless of in case you've been in probability and somewhat had a medical choose for the surgical operation. that doesn't sound like something they're keen to pay for. even partly. I have medicare and they could get noticeably picky. yet you comprehend, if you're actually not death, and purely opt to lose the burden, why dont you in common words start up weight-reduction plan and workout? human beings get truly ill even as they have those lap bands on besides. plus its more less costly and better useful that you'll purely artwork it off.
Kerrigan
 
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Does Anyone Know If Medicare Covers The Lap Band?

Postby Basilios » Wed Jun 28, 2017 4:03 am

probably not, they usually don't cover anything that actually makes sense...
Basilios
 
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Does Anyone Know If Medicare Covers The Lap Band?

Postby Jervis » Wed Jun 28, 2017 4:04 am

do not use medicare for everything.
It is a supplement to insurace, not a replacement.I know its expensive but for quality medical care you NEED insurance
Jervis
 
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