Question:
I just wanted to know will Medicaid (Total Health Care) cover the surgery?

   — [Deactivated Member] (posted on December 4, 2004)

December 3, 2004
I have medicare and medicaid and what medicare didn't pay medicaid did all but 50$. I hear that medicaid requires the 6 month doctor supervised island. Best Wishes
   — Shell G

December 4, 2004
yes medicade will pay if you primary dr. pricveds it and sends you to a sugen
   — Shirleyfl2005

December 4, 2004
It all depends on which state you are in. In MI particularly.....they will fight you every step of the way for the RNY. They require a minimum of 2 years, 24 full months of a physician supervised diet, with monthly minimum weigh ins. Also you MUST have at least 3 co-morbidities, which are uncontrolled or only marginally controlled. The next obstacle will be finding a surgeon who will accept you. 99.9999999% of them will not. I have more info if you are interested. email me privately. [email protected] Marsha
   — Wings In Waiting

December 4, 2004
I have medicaid and medicare,I had no problem getting approved.And the truth is you have a hard time finding a sergeon to accept it.Best wishes to you. :-)
   — Debbie George

December 4, 2004
Medicaid & medicare both require 18 consecutive months of DR. documented diets. You can not miss a month or you have to start all over. Plus you have to have atleast 3 co- morbids that will not get better unless you have WLS. THEN you have to find Dr that will except the medicaid or medicare. DR's do not always get paid for the surgery.That is why alot of doc's wont accept either one. If they do, then alot of them require you sign a waiver that if medicare/medicaid doesnt pay, then u have to pay. I wish you luck. I have medicare & humana gold classic ( I'm on disability). I was told that humana gold classic will pay with only 4 months of diets. So I should know in a couple of wks if I'm approved.
   — yellow T.

December 5, 2004
I have medicaid and they did not pay for it and I had to get a lawer and then I was able to have surgery
   — Donald W. K.

December 9, 2004
Coverage depends on the state you live in. Here in Montana Medicaid is no longer covering WLS. Find out from your case manager or customer service rep at Medicaid. They should be able to either mail or fax you the information in the handbook.
   — Linn D.