Does anyone know if medicare covers the lap band?!
Question: Does anyone know if medicare covers the lap band!?
Answers:
I had lap band and I had Medicare Insurance and they paid!. You have to meet their criteria and I did qualified!. They have already paid off within 45 days!. I had my surgery 4-16-08 and I am down 58 pounds and lots of inches!. I live in Texas, Red Oak!.
Oh Ben F doesn't know what he is talking about!. Medicare is my primary insurance!.Www@Answer-Health@Com
Oh Ben F doesn't know what he is talking about!. Medicare is my primary insurance!.Www@Answer-Health@Com
Yes and no, depending upon the type of lap band!. Depending upon the way the band is constructed and installed determines whether or not it is covered!.!.!.based upon a decision they made in 2006 that some forms of bariatric surgery were sound, medically-necessary treatments!.
The 2/2006 decision by Medicare:
The Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is adequate to conclude that open and laparoscopic Roux-en-Y gastric bypass (RYGBP), laparoscopic adjustable gastric banding (LAGB), and open and laparoscopic biliopancreatic diversion with duodenal switch (BPD/DS), are reasonable and necessary for Medicare beneficiaries who have a body-mass index (BMI) > 35, have at least one co-morbidity related to obesity, and have been previously unsuccessful with medical treatment for obesity!.
CMS has determined that covered bariatric surgery procedures are reasonable and necessary only when performed at facilities that are: (1) certified by the American College of Surgeons (ACS) as a Level 1 Bariatric Surgery Center (program standards and requirements in effect on February 15, 2006); or (2) certified by the American Society for Bariatric Surgery as a Bariatric Surgery Center of Excellence (BSCOE) (program standards and requirements in effect on February 15, 2006)!.
A list of approved facilities and their approval dates will be listed and maintained on the CMS Coverage Web site at www!.cms!.hhs!.gov/center/coverage!.asp, and will be published in the Federal Register!.
Www@Answer-Health@Com
The 2/2006 decision by Medicare:
The Centers for Medicare & Medicaid Services (CMS) has determined that the evidence is adequate to conclude that open and laparoscopic Roux-en-Y gastric bypass (RYGBP), laparoscopic adjustable gastric banding (LAGB), and open and laparoscopic biliopancreatic diversion with duodenal switch (BPD/DS), are reasonable and necessary for Medicare beneficiaries who have a body-mass index (BMI) > 35, have at least one co-morbidity related to obesity, and have been previously unsuccessful with medical treatment for obesity!.
CMS has determined that covered bariatric surgery procedures are reasonable and necessary only when performed at facilities that are: (1) certified by the American College of Surgeons (ACS) as a Level 1 Bariatric Surgery Center (program standards and requirements in effect on February 15, 2006); or (2) certified by the American Society for Bariatric Surgery as a Bariatric Surgery Center of Excellence (BSCOE) (program standards and requirements in effect on February 15, 2006)!.
A list of approved facilities and their approval dates will be listed and maintained on the CMS Coverage Web site at www!.cms!.hhs!.gov/center/coverage!.asp, and will be published in the Federal Register!.
Www@Answer-Health@Com
do not use medicare for everything!. It is a supplement to insurace, not a replacement!.I know its expensive but for quality medical care you NEED insuranceWww@Answer-Health@Com
probably not, they usually don't cover anything that actually makes sense!.!.!.Www@Answer-Health@Com