by Answerbag Staff on October 22nd, 2009

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Does medicaid cover weight loss surgery?

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  • by Lauren Thompson on October 22nd, 2009

    Answerbag Experts

    Great Answer

    Professionally Researched. (What's this?)

    On One Hand: Weight Loss Surgery

    Among the types are restrictive banding surgery, biliopancreatic diversion and gastric bypass. Each method of surgery carries its own set of risks. Restrictive banding is the least invasive, but biliopancratic diversion and gastric bypass are better solutions for individuals with a lot of weight to lose.
    Weight loss surgery can be necessary in some cases, but not all states cover surgery with Medicaid.

    On the Other: Medicaid Coverage

    Though Medicaid is a federal plan, each state can create coverage stipulations and eligibility. Nine states approve anti-obesity drugs under their Medicaid plans.
    Twenty-nine states do not yet cover weight loss surgeries due to their high rates of complications after the surgery. Twenty-three states do not mention obesity in their Medicaid programs, leaving coverage up to decisions on a case-by-case basis.

    Bottom Line

    Any other available measures should be taken before resorting to weight loss surgery. Surgeries can be too costly to be paid out of pocket, but Medicaid should not be the primary method of coverage for individuals seeking surgery.

    Source:

    Medicaid Coverage

    Bariatric Surgery Guide

    Gastric Bypass Info

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