MEDICAID AND MEDICARE SURGEONS LIST!
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:
If they accept Medicare and or Medcaid
This list will remain here for our members to access and use.
Thank you so much!!!
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on 2/15/08 7:16 pm, edited 2/16/08 7:31 pm
Would like some guidance. I am a Tricare Prime beneficiary. Received referral to local Gastric banding surgeon and Doctor said I was well qualified and needed weight loss surgery (Lab Band -my preference). He said we could be in Surgery in late March/early April. His office Insurance Coordinator then stated as a Tricare Prime patient, TRICARE required all weight loss surgeries to complete: Psych eval Nutritionists eval Blood and Thyroid tests Show proof of attending a six-month weight loss program within past three-five years (this was a show stopper and meant no surgery until did six month program. Sept surgery?). My question is does Tricare really require the six month program? RJSu
on 12/18/08 9:27 am, edited 12/18/08 9:28 am
From what I have heard on all the forums and I have talked to SEVERAL TRICARE reps and ...they all tell me NO...they dont require the 6 month program...but you need to get Tricare to send you something in writing stating that...Diff. Tricare reps say diff things tho..I havent gotten as far in the game as you are tho..
Yes they do. I have Tricare Prime. If you call the tricare 800 number, the rep will tell you no or no one from a doctors office has called to verify. Once you speak to a surgeon's office that accepts Tricare they will send you to their rep. Here they will tell you six months doctor documented weight loss program. They do not accept weigh****cher, Jenny Craig, Nutri System.... it has to be with a Nutritionist ooh you must be 100 pounds over weight. I am 90 pounds with 3 comorbidities and they will not allow me to get the surgery, I have to gain 10 pounds then be in a program to loose those 10 probably silly but that is the way they do it.
Hopes this helps
on 4/9/10 12:54 pm
I am a bariatric surgeon practicing in Richmond performing both Gastric Bypass & Gastric Banding and have numerous Tricare patients approved for surgery without this requirement.
Because of your message, however, it did raise my concern that they had changed their requirements, so I had my office's surgery coordinator check with Tricare today, and the 6-month diet is still NOT required. They do, however still require Psychology & Dietitian evaluations, as well certain labwork (TSH, H.pylori) and an EKG; sometimes cardiology & pulmonary consults are necessary, depending on the patient's health condition.
As a Tricare member myself, I wanted to set the record straight!
David Elliott, MD, FACS, FASMBS
Colonel(R), US Army
Bariatric Surgeon & Bariatric Medical Director
Richmond Surgical Specialists
Parham Doctors' Hospital
PS We also take most Medicaid bariatric patients, but currently not Medicare patients.