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Weight Loss Lap Band Procedure



does medicare pay for weight reduction surgery in full?

i know medicare only approves 3 types, the y procedure, lap band and d switch. i already know that i qualify but i also know my medicare A dosn’t always cover all procedures in full & i have to pay a portion out of pocket. will that apply to weight loss surgery too? is there a secondary insurance i can apply for that will cover the rest if need be? i am 62 yrs old 235 lbs. pre-diabetic, arthritic knees, ankles and feet and have severe gerd. please, no smart alac answers from skinny people to just stop eating and move more. i already know that & if i could do it i wouldn’t be asking this question. 20 years ago i was a speed skater and ballroom dancer at 130 lbs. then i got married & gained weight.

Medicare Part A has a $1100 per occurrence deductible that you will pay for hospitalization. In addition, some parts of the surgery will be covered under Medicare Part B. Part B has a $155 annual deductible plus 20% co-insurance.

You will not have any additional charges if you have a Medicare Supplement plan F. However, many states do not have Plan F for those under 65, and those that do are being eliminated with the new healthcare bill. If your state does have any companies offering Plan F most likely it is not a guaranteed issue plan and therefore you will be declined based on weight. You must have both Medicare Part A and Part B to get a supplement.

You also have the option of a Medicare Advantage plan. You must make sure that the plan covers the approved bariatric hospitals. You will have co-pays but they won’t be as much as if you had just Medicare. You must have Parts A & B for these plans and if you do not have one now most likely you are locked out from getting one until January 1


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