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Re: Medicare

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,

I too have medicare. I have a medicare HMO of

sorts, that manages my medicare, called Partner's

Medicare choice. They denied my request for surgery

and appeal as well, but the one good thing about

medicare is that when the medicare HMO's say no a

review board gets the case to look into it. The

review board (totaly seperate from medicare and the

HMO's) said that WLS was a medical necessity for me

and made Partner's pay for my surgery with Dr.

Rutledge. It is a case by case basis, but as long as

you fit the morbidly obese category you stand a good

chance. Also if the weight loss will help your

disabling condition that a BIG plus!

Good luck, Kathy

===

Kathy from Statesville, NC

MGB W/Dr. Rutledge 1-6-99

Pre-Op weight 330

6 months post-op 240

Partners Medicare Choice/won on appeal

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