AboutAdelaide Rose Expertise Any questions related to Revenue Cycle Management and homecare/facilities operation processes.
Experience I have been in the healthcare industry since 1992. My experience comes from working in a multi-physician practice setting, homecare, ambulatory care and consulting engagements with a "Big 5" firm.
Question I would like to find out if medicare and medicaid will cover lap-band surgery if it is deemed medically necessary. I'm thinking about this as an option to help me lose weight and to help improve my health. I am a diabetic and have high blood pressure and have been told by two of my doctors that I am a good candidate for this surgery. I am also disabled. I live in Mississippi and have MS medicaid.
Answer Sherry,
if your doctor can deem this surgery medically necessary, Medicare and Medicaid may cover. You will have to do some work to make sure you don't get stuck with the bill.
What I would suggest is to get the paperwork (medical necessity) from your doctor and have that information reviewed by both Medicare and Medicaid and get their OK prior to surgery. This is still no guarantee of payment, but it gives you a certain reassurance.
