I know we get a lot of people here asking about this insurance or that insurance.
I had my RNY in 2006 when I had a different insurance plan entirely. Now I have Horizon NJ Health (NJ Medicaid).
It took me 4-5 months to jump through all the hoops (nutritionist appointments, psych eval, cardiologist, pulmonologist, and more), but in less than two weeks from submission, my revision to the DS was approved.
I ended up trying three different surgeons before I found one I trusted- finding a revision doc covered by HNJH was a serious challenge!
Surgery date is 8/20. Wish me luck!
Can I ask which doc offered r n y to r n y in no bc I can't find one! ???
I am in the beginning process of this journey, I am required to meet with the nutritionist for 3 months and my BMI is currently at the qualifying range of 35.5. My question is if they put my on a meal plan for the next 3 months and my BMI falls below 35 will I be not eligible for bariatric surgery or do I need to try to keep my BMI at 35 during this 3 month process?
I met with a bariatric surgeon last week and based on my BMI and Sleep Apena he told me that I was an eligible candidate. He provided me with information and referrals to see a dietitian for 3 months and a psychologist both within the practice. My question is do I have to go to the psychologist that he referred me to or can I choose to look else where as long as they specialize in bariatric surgery exams and are able to send him the report.
Here is what we found for you.
Medicare covers certain types of bariatric surgery if you have certain factors related to morbid obesity. To be eligible, you must:
Here are additional medical conditions.
Have at least ONE of the following diagnosed health conditions
When you are ready let us know if you need any further assistance like finding a surgeon.
HW:330 - GW:150 - MW:118-125
RW:190 - CW:130
Hello my name is Hector I little about me, I am 30 years old 5"7 227 lbs BMI 35.5, I suffer from GERD, High liver enzymes and I also have High cholesterol levels.I am interested in bariatric surgery I have tried on my own to lose this weight have tried diet programs such as slim fast, nutrisystem, joining gyms and medication and have been unsuccessful. I would like to know if anyone knows what are Medicare's requirements to have bariatric surgery covered and a full list of comorbid conditions that are associated with obesity. I have tried to get the information directly from Medicare but they are vague with the information they provided. Only conditions that I am aware of is Sleep Apnea and Hypertention in which I do not have. If anyone has anyone any information I would really much appreciate it. Thank you.