Question:
Does NC medicaid pay for gastric bypass surgery ?

I am in greaat need for this surgery and I need to know if anyone has had this surgery while in medicaid ? pleas HELP !    — want2change (posted on August 8, 2007)

August 8, 2007
medicare and medicaid paid for my lapband surgery but they do not pay for fills they are out of pocket
   — [Deactivated Member]

August 8, 2007
Hi Donna, I live in GA, so can't speak for NC, but I am in the process of getting my surgery set up in the near future. Medicare and Medicaid does pay for WLS, but acording to my insurance person, it's the lap band they won't cover. Somebody somewhere has it wrong, but I'm not sure who. You might want to give the doctor you are considering a call and speak to the person in their office about it. After reading that last post, I am going to double check mine too. One good thing I discovered, Whichever one pays, they approve it pretty much 95% of the time. My doc's office isn't even submitting for approval. They just are going to set the surgery date as soon as I complete the prerequisites and then they will bill Medicare/Medicaid. Works for me and I can't wait! Good luck and hope this helps some. Lynn W.
   — Lynn W.

August 8, 2007
HI DANA , I live in Va. and medcaid offered to pay for either one of the surgery's . I got my approval in July and it only took 3 day's and my first appt was March 27, and I had my surgery on July 20 . Good Luck .
   — DONNABOO

August 8, 2007
Hi Dana, i think in most states medicaide covers the surgery..but i think the type of surgery lapband vs. R N Y varies. I am in CA and medical paid for my R N Y surgery & my tummy tuck ~best of luck 2 you / Tiffany
   — tiffany E.

August 9, 2007
nj medicade paid for the RNY for my mother and tummy tuck
   — yvettetas

August 9, 2007
In KY it is different with Medicare and/or Medicaid. The won't precert the surgery at all. The doctor makes you sign a form saying if Medicare/Medicaid doesn't pay for the surgery that you are responsible for the entire amount. It often appears that one meets the criteria for for surgery and then you are denied after surgery has been performed. I would check with Medicaid in NC and get something in writing before proceeding.
   — t_roxus