Does anyone have experience with having Medicare pay for lower body lift.

gram247
on 2/22/14 11:40 pm

I had VSG in 10/11 & have lost 130 pounds. I need to have a lower body lift, & have Medicare as my primary insurance. Does anyone have any experience with this insurance coverage for the surgery?

JazzyOne9254
on 2/24/14 1:29 am, edited 2/24/14 1:29 am

The key is finding a surgeon who will work with you, and the proper coding to get Medicare to pay.

The LBL *must* be medically necessary - that is, the excess skin interferes with your mobility

and/or Activities of Daily Living (ADL's), and /or hygiene.

I am in Phase One of having excess skin removed from my thighs.  My insurance approved it prior to surgery.

My surgeon made the decision to stage the surgery once I was in the operating room, since there is so much skin.

This means I would need to get re-approved for each phase of the procedure.  If you're having all in one, though, they

should approve your with no problems, as long as it's medically necessary

HW 405/SW 397/CW 138/GW 160  Do the research!  Check the stats!
The DS is *THE* solution to Severe Morbid Obesity!

    

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