Alittle confused about medicare/medicaid

Gina Brewster
on 7/10/08 12:17 pm

I am wondering if there is preauthorization for Medicare.   is there one for medicaid?.  When I called the doctors office in Rochester the woman who answered the phone said that there was one for both and that the paperwork was probably already being submitted. So I am getting confused.  I am trying to find out if I am going to have to pay that Copay.  I am putting money away just in case.  Should I call Medicare and Medicaid to see if anything is submitted?

inkerdoodles
on 7/10/08 8:05 pm - Schenectady, NY
Most if not all insurance carriers require precert for bariatric surgery... Since you will be inpatient yes, you would need to cover the Medicare deductible. Check your plan but I believe it's $1024 for the inpatient stay and 20% of all dr's fees (which would include the surgeon).

Lisa...   HW/ 314.7   SW/ 280   CW/ 180ish

RNY ~ 01/25/2008 Terrence Clarke (Ellis Hosptial Bariatric Center).... Lower Body Lift with butt lift and upper thigh lift ~  07/14/2009 Sanjiv Kayastha (K Plastic Surgery) -- LOVE IT !!!!

Gina Brewster
on 7/10/08 9:14 pm
Will Medicaid pick up the deductible?  I think they did when I was in the hospital in April, I know I didnt get a bill.  But I then again, I could get a bill 5 months down the road. Thanks for answering me
inkerdoodles
on 7/11/08 1:53 am - Schenectady, NY
That would be a ? best posed to Medicaid. I really don't know if 1 goverment agency would pick up member cost shares after another goverment agency. My expertise is in Commercial Health Insurance.

Lisa...   HW/ 314.7   SW/ 280   CW/ 180ish

RNY ~ 01/25/2008 Terrence Clarke (Ellis Hosptial Bariatric Center).... Lower Body Lift with butt lift and upper thigh lift ~  07/14/2009 Sanjiv Kayastha (K Plastic Surgery) -- LOVE IT !!!!

wannaliveagain
on 7/11/08 8:00 am - glen aubrey, NY
RNY on 07/14/08 with
Hi there! I know Medicade wants a 6 mths supervised diet my friend went through her surgery on medicade and medicare I have no idea
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