Medicare
What Betty B. said.
Even though Medicare is national, the details around the requirements vary by location, depending on which private company is contracted to administer Medicare claims in the state where the service is provided. Medicare makes overall general policies, such as covering WLS, but leaves what it (not we patients!) considers to be minor details (such as whether or not to require the supervised diet) up to the private MAC (Medicare Administrative Contractor).
I had my DS with Medicare and had to do a supervised diet of three monthly appointments, but I think this was more a requirement that my surgeon's practice had for their Medicare patients than the MAC itself (I'm not certain). Dr. Anthone in Omaha, NE does not require his Medicare patients to do the supervised diet.
Even though Medicare is national, the details around the requirements vary by location, depending on which private company is contracted to administer Medicare claims in the state where the service is provided. Medicare makes overall general policies, such as covering WLS, but leaves what it (not we patients!) considers to be minor details (such as whether or not to require the supervised diet) up to the private MAC (Medicare Administrative Contractor).
I had my DS with Medicare and had to do a supervised diet of three monthly appointments, but I think this was more a requirement that my surgeon's practice had for their Medicare patients than the MAC itself (I'm not certain). Dr. Anthone in Omaha, NE does not require his Medicare patients to do the supervised diet.