Medicaid/Medicare out of state?

[Guest guest]

Hi, has anyone here had the BPD/DS with medicaid or medicare and an

out-of-state surgeon? It looks like I'll be getting medicaid soon and would

like to have the BPD/DS. But there are no in-state surgeons who can do it

and medicaid says using an out-of-state surgeon requires special

permission. There is a surgeon in-state who does the distal RNY and I'm

afraid I'm going to have to have that instead. I was wondering if anyone

had any experience dealing with this sort of situation. Thanks in advance

for any info.

-

--

Rousey

[Guest guest]

, the information that I have from my surgeon says that you have to get

the procedure in the state you receive your checks and reside. :-(

Something to do about some kind of " number " that the surgeon has to apply

for when he starts accepting medicaid/care. Very sorry. I hope that my

information is wrong. BTW, very nice web site :-)

Medicaid/Medicare out of state?

> Hi, has anyone here had the BPD/DS with medicaid or medicare and an

> out-of-state surgeon? It looks like I'll be getting medicaid soon and

would

> like to have the BPD/DS. But there are no in-state surgeons who can do it

> and medicaid says using an out-of-state surgeon requires special

> permission. There is a surgeon in-state who does the distal RNY and I'm

> afraid I'm going to have to have that instead. I was wondering if anyone

> had any experience dealing with this sort of situation. Thanks in advance

> for any info.

>

> -

>

> --

>

> Rousey

>

>

[Guest guest]

> Rousey,

I am sorry I can't answer that question. Why don't you call Walter

at Obesity Law. He may have come across this situation before.

Sometimes it is better to go with what is available. If you have the

distal RNY, you can always have a revision to the DS later when you

have the money. I have seen your website, your a smart guy, you

could make a living doing websites for us computer dummies LOL.

I did post at your message board yesterday. I won my fight with my

insurance company and will be traveling to Ohio from New Mexico to

have a consult with Dr. Hess on Monday. If a RNY was all I could get

after all was said and done, I would have done it. Your right that

the BPD/DS is the better surgery for us super MO's. What if the

surgeon who will be doing the RNY recommends you for the DS. You may

have a fighting chance.

Good luck to you

Teri

[Guest guest]

----- Original Message -----

If you have the

> distal RNY, you can always have a revision to the DS later when you

> have the money.

A revision from the RNY is tricky because the stomach has been divided. One

part has the esophagus going into it.. where the food goes down.. and the

other half has the pylorus attached and is the non functioning part of the

stomach.

If a surgery is not available within one state, I'd imagine that they've

sent people elsewhere for surgery many times.

in Seattle