Question:
I am 65 and wondering if Medicare Pays

Does Medicare and supplimental Insurance pay the whole bill for Gastric Bypass and what are the steps they make you go through first before you can have it. I have all the Illnesses to get it done-- copd, diabetes , high blood pressure, bmi. Yhanks    — RosanneH (posted on October 26, 2010)


October 26, 2010
Which supplimental plan do you have?
   — Caribou ME

October 26, 2010
I got my medicare in August and had my rny on September 1st. (Miami,FL) I don't even know what plan I have but they paid everything. I only had to pay $3. I had to an approval from my primary, physiologist and nutritionist. I also had a chest xray. Feel free to contact me with any questions.
   — [Deactivated Member]

October 26, 2010
With the other conditions that you mentioned, you should have no trouble getting your surgery. Medicare normally pays 80% and your supplement will pick up all or a portion, depending on the policy that you have. Call them, and they will tell you. Bloodwork and a chest x-ray are required prior to any surgery and usually an EKG also just to insure that you are in good health and low risk for surgery. Even if you did have to pay a small portion on this surgery, it is well worth it. Good luck, and God bless!
   — Bonnie H.

October 26, 2010
Yes, Yes, Yes. I am 67 and had my RNY surgery in January of this year. I went from 265 pounds at the time of surgery to a slim and trim 130 pounds at this time. Just half a person. I have more energy now than I can remember having in my 30's. I feel like a new person and recommend it for anyone with a problem. You must stick with the program. I attend a support group at Clovis Hospital every month and it helps a lot. I was a diabetic for over 35 years, high colesterol, high blood pressure and on over twenty five drigs. Now all of that is in the past. Good luck to you, life really starts after 65.
   — Jim Christian

October 27, 2010
i was 65 when i had wls medicare paid almost all it . les than 2grande is what i paid . i am now trying to get a tummy tuck paid for . good luck hank
   — hanksguns

October 27, 2010
I have Medicare and supplimental Insurance (scan) and they paid all but of course you pay your co-pay per day in the hospital which was only $50 per day ($100)for me. Try it you loose nothing by trying. I had my surgery in DEC 2009 and so far I have lost 84 lbs gastric bypass in Burbank, California
   — angie R.

October 27, 2010
I had RNY when I was 66. The requirements that I had to meet was that I had to have a BMI of at least 35 and have at least one co-morbidity such as high blood pressure or diabetes. (I have both of those.) My supplemental was TriCare for Life. Between both of those I paid nothing myself. Greatest thing I ever did for myself! Would do it again in a heart beat! Good luck!
   — ShirleyF

October 27, 2010
I have Plan F with Mutual of Omaha. I live in Arkansas.
   — RosanneH

October 29, 2010
I just had to have a BMI of atleast 35 and two comorbid and that was it.
   — domoreland




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