Yes on my end in pa nothing too ... Awful 

Yes independently Pennsylvania nothing but rejection multiple times not even for removal of a lap band

Tricare did not pay for my lapband surgery in 2006. I had private insurance at the time that covered the surgery.  I married my husband in 2010. I had my lapand removed during my hysterectomy.I carry my private insurance as a primary insurance and Tricare Prime as secondary.  Since my primary insurance approved my hysterectomy Tricare picked up the "remaining" cost that included my lapband being removed.  We had to make sure my GYN surgeon opened me and closed me, the lapband surgeon came in to remove adhesion's so the GYN surgeon could perform my hysterectomy easier.  The lapband surgeon removed my band while he was in there.  My primary denied the lapband surgeon fee but Tricare covered it as the secondary insurace along with the other fees from the hyst.  Kind of a special situation but both surgeons want my band out and for me to have RNY so they worked together to help get it done.  My band was ineffective I lost 100 in the beginning but after that it was a struggle with getting the right fill and I just got so frustrated with it. I ended up with GERD and tons of adhesions.  

jacqie

My primary insurance is Self Pay through my husband's employer and they have a specific exclusion for weightloss surgery.  Medicare is my secondary and I know that it will cover a D/S.

I am trying to figure out a way to get my surgery paid for and if Medicare will pay if the "Medical Necessity" for my surgery to my primary insurance fails to provide a one off approval.

Presently I have a 56.5 BMI and a bunch of comorbidities, along with already having needed two spinal surgeries, one, most assuredly is due to my weight.

Has anyone had any luck with this?

Cheers,

RhainyC

Hi MichiganGal, I too am from Michigan...I have reg Medicare part A and B, I also have full Medicaid with AARP for my prescription coverage. I had Gastric Bypass in 2000 which left me with a scar from my belly button to my breast bone. The muscles in my stomach were cut and therefore over the years and with weight gain have ballooned to the point of having this rather large upper stomach that sticks out. so my body consists of two rather large hanging muffin top's with a rash on and off between them. Do you have any idea if my insurance would pay to have a tummy tuck?