Question:
Does anyone know if Medicare pays for revisions when there is a problem with original
surgery that requires repair? Currently BMI is only back to32, but waist is 42 inches and I wear 18/20W. Also have several comorbids. Without repair regain of all weight lost is inevitable. I have heard Medicare covers WLS but have to be 100lbs over. I don't wish to wait to regain rest. I don't think it would be healthy or wise. Due to variances in weight of bones and muscle mass I think measurements should be more important than your weight or BMI. My doc and even insurance co agreed it's medically necessary but I'm fighting an exclusion. Medicare is my secondary but said they pay as though they were primary for "Medicare covered services" if not covered under your primary. If anyone has had or knows someone who had a revision paid for by Medicare I need some more info. Thanks — Julie B. (posted on April 26, 2001)
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