medicare does'nt pay for fills anymore.

went  in  for  my  second fill  today   and  was  told  medicare  does'nt  pay  for  my  fills  anymore  i  have  to  pay  50$   for every  fill  which  is  not  much  but  i'm  sure  it  is  for  people  who  have  to  live  off  of  monthly  checks. Debbie

Check with the carrier and find out through customer service that your doctors office is correct

i  called  but  they  just  took  my  info  and  said  someone  will  be  contacting  me  monday  or  tuesday.  thanks  Gary.

Hi, I don't have an answer for you but have a similar problem. I had lapband 4/23 with a low BMI 38. Have lost 17 lbs & now my BMI is 33. When I went for my 2nd fill, insurance did not pay cause I am no longer considered morbidly obese. ( Under 35 BMI).  But I still have my diabetes &  high cholesterol.  So we share the same problem. My bill from the surgeon was $300 including office visit. I paid the $20 office call, thinking BCBS would cover the rest. First fill surgeon did for free. I had no idea of this action  & wasn't informed of it b-4 surgery. Is this insurances way of saying I have to loose the rest on my own & its now like cosmetic surgery ?? Anyone else out there share our problem ? I still have 60 lbs to loose. Please help or respond some action I can take.    Surgeons office is working with the insurance company to get paid. Its been 9 days & haven't received any phone call or bill. I hope I don't have a useless band in me for life.                                                              Thanks   Pam

Hi  Pam  i  called  my  insurance  company  and  was  told  they  have'nt  heard  anything  about  this  they  just  know  they  were  still  paying  for  lapband  surgery  and  they  did'nt  understand  why  they  would  pay  for  the  band  and  not  the  fills  and  that  i  needed  to  talk  to  my  dr.  which  i  did  and  they  said  they  already  looked  into  it  .  insurance  pays  for  the  dr.  visits  but  not  the  fills.  i  needed  to  call  the  insurance  company  again. well  when  they   called  from  the  doc.s  office  to  remind  me  of  my  app.  the  following  day  i  told  them  i  was  looking  into  having  the  band  removed  i  recieve  ssi  checks  once  a  month  and  supporting  4  teenagers  and  a  whole  lot  of  bills.  i  cannot  pay  for  fills.  she  told  me  just  to  go  ahead  and  go  in.  i  did  and  was  not  charged.  so  i'm  wondering  what  the  hell  is  going  on  . i  don't  understand  why  they  don't  let  us  know  these  things  before  getting  this  band.  Debbie

HI Debbie,    thanks for your reply and I hope we both can get things straightened out. I have a job and can afford to pay some, but not the full amount. I consider myself lucky when compared to your situation.   Good luck..  Pam-busdriver