Question:
I have a BMI of >95, and all I have is Medicare -- PLEASE HELP!

I desperately need to have WLS but cannot afford it. I know that if I don't find a way to have WLS I will die before I reach 30! Can anyone give me some advise???    — Jennifer B. (posted on April 15, 2005)


April 14, 2005
I don't know this personally but I have read on the board over and over and over again that Medicare pays for WLS. You don't even have an approval process to go through. You need to schedule an appointment with your PCP then see a WLS surgeon. As long as they say it is medically necessary and you pass the pre-op criteria, you should be on your way to surgery! Perhaps you should post this to the main message board. I think you'll get a lot of answers there! ~Vanessa
   — Butterfly Reborn

April 15, 2005
medicare will pay, no questions asked and no preapproval. You are going to have to call around and find a surgeon that operates on those with higher BMI's. Don't let one or two turndowns discourage you because there are docs that operate on higher bmi patients. Also when you start calling around, ask if they take medicare ASSIGNMENT. This mwans they cannot charge you more than the medicare pays. If they take medicare with no assignment, you will have the 80/20 to deal with. With Assignment, you will have to pay a surgeons fee of about 400. and hospital fee of 800. These are your medicare deductibles and usually, you can make payments on it. Medicare also will pay for all your testing. Good luck
   — Delores S.

April 15, 2005
I have medicare and they are the easiest ins to pay you have no problem now just find a surgeon and get to it. Best Wishes
   — Shell G

April 15, 2005
With such a high BMI, make sure you check out the duodenal switch procedure which has a higher average weight loss and longer term average maintenance of weight loss -- otherwise, you may never lose enough weight to get out of the morbid obesity range. Check out http://www.obesityhelp.com/morbidobesity/surgtype-forums/DS/posts.html where there are a lot of people who might be able to give you advice. Also check out duodenalswitch.com and health.groups.yahoo.com/group/duodenalswitch/ -- there is a wealth of information about this lesser known, more effective and frankly easier to live with weight loss surgery.
   — [Deactivated Member]

April 15, 2005
Hi there, I had medicare and medicaid here in Iowa and my Duodenal Switch wls was paid for totally. I was 503 2 yrs ago and today am 325......slowly still losing. The DS was the best choice for me and is for many others that are super obese......check it out http://www.duodenalswitch.com GOOD LUCK and dont give up! HUGS HEALTH HAPPINESS~ Lisa
   — Lisa Jean

April 16, 2005
I can't help with the Medicare thing, but it sounds like you've gotten some good answers already. I just wanted to also suggest looking into Vocational Rehab. in your state. In some areas, I've heard of people getting that to help pay for it, as your weight is no doubt hindering your ability to work. And I also wanted to say HANG IN THERE!!! The only way that this could "never happen" for you is if you give up. Take it from another high BMI postie--mine was 91 and is now down to 41. Would be lower, but I'm actually pregnant and can't lose right now. :) This can happen for you, and it will be a beautiful thing. Don't give up.
   — christied

April 16, 2005
I am in California. I had a BMI of 39.1, but had several comorbidies. I have mediCal...was approved in twelve days. All five of the doctor's at LiteDemensions in Orange County accept mediCal. You would have to call them about medicare. All they want is medical necessity, and you would certainly qualify for that. Feel free to e-mail me with further questions if you'd like.
   — lindarodham6

April 16, 2005
I believe that Dr. Lutrzykowski in Michigan accepts Medicare. He is an excellent surgeon and performs the Duodenal Switch. I have a friend that he also operated on and her BMI was 108, so I know that he will help people with high BMIs when other surgeons won't. Might be worth giving him a call if you are able to travel. Good luck!
   — MandyT

April 17, 2005
Hey Jennifer, It is great that you are going to do this for yourself. I live in PA also and I have medicare as my primary insurance, but I also have medicaid (keystone mercy) as my secondary coverage. I had no problems whatsoever being approved. I went through University of Penn hospital, and I just needed medical necessity, which I had no problem. My BMI was 58.4 and now I am at 29. It was the easiest approval and they paid for my testing and everything. I only had to pay for a nutritionist appt. I have had no problems with my insurance. So just research your surgeon find one you trust and the rest should work out. If you need to talk to someone just email me. Lisa lap/rny 10-23-03 340/169/??? -171lbs dr. williams
   — Lisa H.




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