Does medicare cover WLS?

prechrgrl
on 11/27/06 2:47 am - hamilton, OH
In ohio does anyone know if WLS is covered by medicare or medicade?
-Michael- Smith
on 11/27/06 6:21 am - Cincinnati, OH
Tammy I am medicare and medicade it covered mine but some things have changed sense I had my surgery but not sure what all they are sorry best of luck to you Michael
sillylinnie
on 11/27/06 8:52 am - Monroe, OH
yes it does .. you have to look for a doctor that is covered and your hospital has to have a certain paper on file. I have medicare and I am in the process. I called medicare to see what their requirements are..... you have to have 2 problems (at the least) that is on the list some are a BMI of 35 or more, sleep apnea, diabeties, High Blood pressure...... . I dont know what area you are in but if you go into the part to find a surgeon on there info page it usually says what isurance they take. Hope that helps.
prechrgrl
on 11/27/06 10:03 am - hamilton, OH
thanks guys, that helps a lot.
barbie12
on 11/27/06 10:20 am - OH
Dr Bruce Dayton Ohio Covered mine Very fast also Best wishes Barb
jimbo2848
on 11/27/06 11:25 am - Beloit, OH
Yes Medicare covers it I just had mine on May 31st of this year BUT they just changed it in February of this year they now say you have to go to a hospital that is accredited by the ABS. There are 4 hospitals in Ohio they are in Dayton, Cinncinatti, Columbus and Cleveland. I belive it's Ohio State, And I know it's St. Vincent Charity in Cleveland cause thats where I had mine. I'm not sure what the Dayton and Cincy ones are. Please if you have any questions and I may be able to answer them just let me know. From what my doctor told me if you have medicare and medicaid as a secondary they don't have to get any kind of prior authorization from medicaid. Also with medicare as long as you meet at least 2 things on there criteria list such as high blood pressure, sleep apnea, diabetes, heart problems then your in, there is no prior authorization required from Medicare Jim
kathrynusa
on 1/13/07 9:26 am - Ellerslie, GA
Hi, I live in Georgia ,but am from Ohio near Dayton..I have Medicare...I was wondering how much out of pocket you had to have to have the surgery..What Medicare didn't cover? Thank you, Kathryn
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