Question:
Is it true that Medicare makes you wait 6 months before they will consider paying

for Gastric Bypass or any other WLS? That seems like cruel and unusual punishment!!!    — RosanneH (posted on November 1, 2010)


November 1, 2010
I got approved in 3 weeks and by the 4th I had surgery. Regarding ur comment on other surgeries they will not cover any but the RNY Gastric Bypass. At least thats what they told me.
   — [Deactivated Member]

November 1, 2010
Most insurances make you wait up to 6 months. There are a battery of tests and evaluations you must go through AND pass before anyone is considered not to mention you MUST show a committment to the dietary end of it....i.e: you CANNOT gain weight during the preop phase. It is not cruel and unusual punishment but rather their way of ensuring you are both mentally and physically prepared and strong enough to even make it through the surgery. Hope this helps.
   — karensaporito

November 1, 2010
I do not have medicare, but I had to wait one year and have documentation, however, I am so glad I did. I was very informed about this surgery.
   — FSUMom

November 1, 2010
I also forgot to mention that I needed to show I was on some kind of Dr's diet, I didn't lose that year, but the Dr documented I was trying this thing or that.
   — FSUMom

November 1, 2010
I know that 6 months can seem like a long wait. I personally think it is a good idea. It took me 2 years to prepare for this surgery. The surgery will make you loss weight but you have to do the rest. There are a lot of things that happen that you need to prepare for. Somethings that people tell you about and other things that no one will tell you about. You need to deal with why you gain the weight so you can keep it off. Now is the time to start working out. Even if it is just walking for 15. min a day. Start using lotion and baby oil. I think this helped my skin shrink. Start trying to eat better. Read as much as you can about the surgery. Start taking your vitamins. Last but not least ask question. Good luck.
   — dsquire

November 2, 2010
Hi, It is my understanding as Medicare Benefits counselor that the waiting period is mandatory. However as with anything, every situation is toally different and Im sure there could be special circumstances. My clients that have had bariatric surgery have waited the 6 months. Not as punishment, but as a preparatory period to learn the proper eating routine and to make sure their bodies are ready for the procedure. If you would like more information you may call medicare directly at 1-800-633-4227. Hope this helps.
   — kchooker

November 2, 2010
I have medicare. There are things you need like a bmi of 35 or more, some type of diabetes or high blood pressure and something else..you have to do a 3 month supervised diet. I think the only way you have to wait longer is if you have some mental issues like suicidal thoughts. I say call them. They were pretty ok when I called and asked tons of questions
   — That_816_Princess

November 2, 2010
I had medicare for my GB and did not have to wait at all for them to ok it!
   — StlX

November 3, 2010
I had my pcp referral did all of the testings and got right in with Medicare with out any problems had the needed requirements. I did better with Medicare than a lot of people did with fancier insurances.
   — Eveningblossom

November 4, 2010
Most insurance, Medicare included, makes you work with a physician for 6 consecutive months before they will cover your surgery. You need this time to make sure you know what you're getting into. This surgery completely changes your life in so many aspects and they just want to make sure you are ready for that change. It's not "cruel punishment" and would actually be considered cruel if they covered the surgery too early and patients got it and were not ready for it. The first step is usually a seminar, have you checked to see if there are bariatric surgeons in your area? Good luck to you :)
   — Clumsybarbie

November 9, 2010
Medicare does not require you to do no diet ! If your DR. says that it is simply not true,your Dr.does not want to tell you, he is giving you time to change your mind,and long waiting list.I have medicare,seen my Dr.in late Nov. had my surgery the next month. If your Dr,will lie to you now,what is he hide,in?
   — rebecca W.

November 9, 2010
Medicare does not require you to do no diet ! If your DR. says that it is simply not true,your Dr.does not want to tell you, he is giving you time to change your mind,and long waiting list.I have medicare,seen my Dr.in late Nov. had my surgery the next month. If your Dr,will lie to you now,what is he hide,in?
   — rebecca W.

January 4, 2011
Medicare has national guidelines and local guidelines. Sometimes these are different. I live in Louisiana and the local intermediary goes by the national which does not have any requriements other than 35 BMI with comorbites and 40 BMI. There is no prior diets and no time limits.I do know that Texas which is trailblazer has local determination that are different from the national. You need to look and find out which FI is handling your state and check their website and find out what the requirements are.
   — martha1014

January 5, 2011
Hey there! I'm from Iowa and here we had to do a 6 month doctor supervised diet prior to even sending anything in for authorization. But honestly, 6 months is not long to wait and its a good time to get into the right frame of mind. I was told also that if you miss an appointment, or you go over 30 days between appointments, be prepared to start your 6 months all over again. WLS isn't easy. It takes a lot of dedication and commitment. It's so worth it! 6 months isn't a huge sacrifice to make. You can do it! I'm excited for you!
   — lady_myst




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