Out of province surgery, coverage by NB Medicare
It looks like there is a really long waiting list (>5yrs) if you want it done in NB so I would assume (but probably shouldn't) they would approve it providing it wasn't more cost than in NB.
I assume I would qualify, my BMI is 40 & I have diabetes, high blood pressure, etc.
Any comments/help would be appreciated.
You would definitely qualify
Medicare may cover the cost of bariatric surgery when it meets specific criteria. In order for such surgery to be considered out of province, it is necessary for physicians to request prior approval from New Brunswick Medicare. Therefore, your physician must submit a written request with supporting medical documentation to Medicare's Medical Consultant at the following address:
Medicare's Medical Consultant
New Brunswick Medicare
Department of Health
PO Box 5100
Fredericton, NB E3B 5G8
Fax: (506) 457-7671
The service in question must be rendered by a certified physician in a public hospital, and the hospital fees billed reciprocally to Medicare. The physicians may opt to bill Medicare directly, but the requested fees must be based on existing host-province fees. Neither the patient nor Medicare may be billed additionally. No “private arrangements" between patient and surgeon will be honoured by Medicare, even if rendered in a public hospital. It is always prudent to verify this with the physicians in question.
I trust this information will be of assistance.
Sincerely,
Linda Hay
Medicare/Assurance-maladie
Department of Health/Ministère de la Santé
tel: (506) 453-4227 fax:(506) 453-2726