hysterectomies are only performed if you have a medical reason for doing so! the only way you would know if you had a medical condition that required a hysterectomy, would be via a pap smear, confirming the need, and your ob/gyn would then order further tests, and tell you your options! your doctor, knowing the kind of insurance you have would tell you to talk with your medicaid case manager and see if it is a covered procedure. you don't just wake up one day and say "hey i think i'll have a hysterectomy today!"
if you're asking about having your tubes tied....a tubal ligation--that's a whole different procedure, and one that most doctor will not perform on a woman under 30 years old. again, check with your medicare case manager--just as you do for every other appointment or question!
at 5:55 PM on Nov. 2, 2009