MEDICAID AND MEDICARE SURGEONS LIST!

Member Services
on 8/31/12 8:25 pm - Irvine, CA
Hello Members,

On a daily basis we get calls from members in desperate need of surgeons that will accept Medicaid and or Medicare for Bariatric surgery.  It breaks our hearts when we have to say "we don't know of any surgeons in your state we can refer you to". 

Can you please help us? If you know of any surgeons in your state that accepts Medicaid and or Medicare, will you list their:

Name

If they accept Medicare and or Medicaid

Phone number

Facility

Address

This list will remain here for our members to access and use.

Thank you so much!!!

ObesityHelp,

Member Services

The ObesityHelp Conference 2014 is about education, fun and information for living a healthy lifestyle with weight loss surgery.

 

drgnfly763
on 5/11/08 6:22 pm
hi, i just started the process of going for gastric bypass surgery here in Ma and I am on both medicare and masshealth.  Great News.  The Tufts New England Medical Center in Boston accepts these insurances.  This hospital is one of the leading bariatric centers in the world.  The surgeons are Dr. Scott Shikora who the surgical director of the obesity consult center,and the professor of surgery at Tufts University School of Medicine in boston.  He has consulted and taught this surgery in other countries as well as the usa.    Dr. Michael Tarnoff the assistant professor of surgery at tufs a staff surgeon and finally Dr. Julie Kim also assistant professor of surgery at tufs university and a staff surgeon.They list this site for information on the surgery.(that is how i found it) and you can apply on line at www.tufts-nemc.org     obesity consult center.  you can call 617-636-5000 and ask for the obesity consult center, they are very nice and extremely helpful.  You can go to www.obesityhelp.com/surgeryrisks and they lead a discussion on the risks and benifits of the surgery and you can see a picture of them.     Also Tobey Hospital in Wareham Ma takes masshealth and I believe medicare or medicaid.  If you call medicare or medicaid they will tell you what hospitals they will cover,  The hospital must have a certificate of excellence on this type of surgery.  Tufts New England Medical Center in boston has a very low rate for complications and has not had a death from gastric bypass in over 3 years.  They move fairly quick,  I have 2 appointments the first week i called and i now have about 16 appointments in the next 6 weeks.  A meeting with the surgeon Dr. Shikora on 5/29.  Good Luck.......
mary B.
on 7/12/08 7:23 am - new bedford, MA
RNY on 03/17/09 with
JessicaArmstrong
on 9/7/09 12:18 pm
I am also going through Tufts for my Gastric Bypass surgery and they have been extremely helpful to me on my whole journey. Great people to be in the care of. I could not be happier. My surgery date is still in the air but I know it will be by late fall. Give them a call they are well worth the travel. I come from Cape Cod, the Harwich area.
    
illykatrina
on 5/22/11 5:29 pm - Haverhill, MA
 i might have my weightloss surgery at tuffs but im also looking at other hospitals
(deactivated member)
on 7/18/08 7:43 am
Masshealth and Commonwealth Care Type II through Network Health are both accepted at the Umass Hospital Weight Center in Worcester, MA.
Nicole H.
on 7/18/08 2:30 pm
Im at st elizabeth's center for weight control and have mass health... so far no problems.. i know they do not cover lap band but what i've heard from the NUT there, mass health does cover gastric bypass, it has to be medically necessary though i.e. I believe 2 or more co morbidties





Still Waiting for that day :)
 

Despinasdream
on 7/20/08 7:44 pm, edited 7/20/08 7:44 pm - Lakeville, MA
RNY on 09/02/08 with
Hi I have Boston Medical threw Mass Health and Tobey Hospital does take it with a great team of  Doctors Kruger & Streeter Good Luck all...that's in Wareham,Ma. I should have surgery in 5 weeks it was a 6 month journey lots of info and work on our part but in the end we will be the ones who benifit...
EileenRae
on 8/13/08 6:11 am
I live in Western Mass.  I have Mass Health, BMC and I got to PIONEER VALLEY SURGICAL http://www.pvsurgical.com/  They take most insurances But if you call your insurance they can send you a list of Drs that can help you
Juice
on 8/27/08 7:10 pm
The best thing to do is to call your insurance company and ask them what is covered, what isn't and what to do and who to call.  They can provide you with the information you need.  If the Customer Service Representative can't seem to provide you with the information, ask to speak to a supervisor. 
Despinasdream
on 1/2/09 4:46 am - Lakeville, MA
RNY on 09/02/08 with
Hello I had Mass health and had my surgery done at Tobey Hospital with Dr. Thomas streeter and Rayford Kruger both fantastic doctors...Best wishes...
Lisa1483
on 5/2/09 6:35 pm - Revere, MA
I have both MassHealth and Medicare. I have been going through Beth Israel with no problems with insurance at all. I just got my surgery date, June 3ed, and when the doctors assistant was setting up my appointment she said that with MassHealth it was going to be a little bit of a wait for them to approve it. When she saw that my main insurance was Medicare she said there would be no wait and we are ready to go on that date.    I was really nervous because Beth Israel is new to me but everybody over there has been great. 
illykatrina
on 5/22/11 5:30 pm - Haverhill, MA
but  do they do the lap band ???
crissybella29
on 5/3/09 1:27 am
I really hope that all of this is true,I have masshealth and medicare and would love to get a gastric bypass,it is something I have thought about for a long time but never imagined would ever happen. So i fully intend to call both insurance companies on monday morning and see what happens. Is it really tough to get approved? I want to describe my situation a little and maybe some of you could give you're opinions? I am 29 yrs.old approx. 301 pounds,I have several medical conditions that could be improved by weight loss such as: asthma,pre-diabetes,high blood pressure etc. So if anyone could kindly give their opinion as to wether I sound like a good candidate please do. thank you.
Lisa1483
on 5/7/09 9:00 am, edited 5/7/09 9:01 am - Revere, MA
Hi Crissy,

I have tried every diet you could think of and nothing has worked. Sure I would lose weight but as soon as I went off the diet I would gain twice as much back. I am 42 and weigh 263 pounds. I always wanted to have surgery but never thought it was possible because there was no way I could afford it. I kept bringing up my weight to my doctor and she would just say that it was normal to gain weight as you got older, this was unacceptable to me.   

The clinic I was going to had declined a great deal so I switched my PCP over to Beth Israel. On my first visit with my new PCP I told him that my weight is way out of control, he agreed and set me up with the Bariatrics department in Boston. I expressed my concern of not being able to pay for it and he told me that MassHealth and Medicare now cover it because it cost them more in the long run due to all the health problems that obesity causes.   

If Medicare is your primary insurance you will be all set without going through the whole program and then having to wait Lord knows how long for MassHealth to approve it.  However, there is a one time program fee of $500.00 that you have to pay on your first visit and there is no way around that.        

KCrewe
on 6/12/12 6:13 pm
 Dr. Schnieder got the hospital to waive the fee.
helane
on 11/15/10 4:47 pm - canton, MA
You sound like a great candidate to me!
I went via Boston Medical Center and had who I think is the best surgeon in the Universe
Dr. Hess for my surgery.  I am only 6 days out..but I would move and pay any amount of money to have him do my surgery.  but I am on MassHealth right now and his office accepted it.
There was a lot of problems getting it through though ..it took me almost 2 years.  I started out with BlueCross Blue Shield, lost my job..had Cobra then massHealth.

I am 45 and am 215 but I'm only 4 11 which made it worse..I had all plus sleep apnea that you had.

I'll see what happens in the next year.

Good luck and if you need to talk, I'm here
Just Brooke
on 5/7/09 11:45 am
MassHealth doesn't take long to approve it.

The Center for Weight Management at Lowell General Hospital takes MassHealth.

    
jlm84
on 7/21/09 7:35 am, edited 7/21/09 7:52 am - Winchester, MA
Dr. Sheldon Randall of Hallmark Health specifically Lawrence Memorial Hospital in Medford. He accepts Mass Health and Medicare. Mass Health ONLY covers the RNY gastric bypass. It is a mandatory 6 month wait. Medicare WILL cover Lap Band OR RNY gastric bypass. It is a 3-4 month wait. His statistics are fantastic. I liked him. Very confident. No nonsense, no BS. He has high expectations of his patients.
nesschap
on 7/21/09 6:42 pm - MA
Mass. General Hospital's Weight Center!