Jump to content

Hello! Welcome to the Largest Bariatric Surgery Community Online!

Welcome to BariatricPal.com, the largest weight loss surgery social network in the world! Our goal is to provide a unique platform for patients and potential patients alike that enables you to make informed choices involving your surgery decisions as well as providing you the support you need to meet your goals. Sign up now to access exclusive member features!

Join our community. It's free!

Fidelis managed Medicaid in NY state

1415
Views
Started by TheRealMeIsHere!, Oct 02, 2011 11:33 AM
7 replies to this topic
7 replies to this topic

    TheRealMeIsHere!

    Bariatric Guru

  • Posts: 431
  • Joined: Oct 2011
  • Gender: Female
  • Location: NEW YORK
  • Surgery: Gastric Sleeve
  • Surgery Date: Jan 2012
  • Height: 5 feet 2 inches
  • Starting Weight: 230 lbs
  • Weight Lost: 121 lbs
  • Current Weight: 109 lbs
  • Goal Weight: 115 lbs
  • BMI: 19.9
Posted October 2, 2011 - 11:33 AM

#1
Anyone have the sleeve covered with Fidelis managed Medicaid. Doc thinks it may be a problem, but will push for it due to severe ulcerative colitis. I did not get surgery two years ago, because sleeve was not offered in my area, and I will not have band or bypass.


    christina8868

    Newbie

  • Posts: 3
  • Joined: Oct 2011
  • Gender: Female
  • Location: NY
  • Surgery: Gastric Sleeve
Posted October 22, 2011 - 1:41 PM

#2
Yes, they cover the sleeve. I called Fidelis and asked.

Anyone have the sleeve covered with Fidelis managed Medicaid. Doc thinks it may be a problem, but will push for it due to severe ulcerative colitis. I did not get surgery two years ago, because sleeve was not offered in my area, and I will not have band or bypass.




    TheRealMeIsHere!

    Bariatric Guru

  • Posts: 431
  • Joined: Oct 2011
  • Gender: Female
  • Location: NEW YORK
  • Surgery: Gastric Sleeve
  • Surgery Date: Jan 2012
  • Height: 5 feet 2 inches
  • Starting Weight: 230 lbs
  • Weight Lost: 121 lbs
  • Current Weight: 109 lbs
  • Goal Weight: 115 lbs
  • BMI: 19.9
Posted October 24, 2011 - 7:54 AM

#3
Thank you for checking. Did you call the member services number? I feel silly that I didn't try that.

Debs


Yes, they cover the sleeve. I called Fidelis and asked.







    taide

    Advanced Member

  • Posts: 40
  • Joined: Sep 2012
  • Surgery: Gastric Sleeve
Posted October 9, 2012 - 2:35 PM

#4
Do they require a 6 month before surgery nutrition evaluation?


    TheRealMeIsHere!

    Bariatric Guru

  • Posts: 431
  • Joined: Oct 2011
  • Gender: Female
  • Location: NEW YORK
  • Surgery: Gastric Sleeve
  • Surgery Date: Jan 2012
  • Height: 5 feet 2 inches
  • Starting Weight: 230 lbs
  • Weight Lost: 121 lbs
  • Current Weight: 109 lbs
  • Goal Weight: 115 lbs
  • BMI: 19.9
Posted October 10, 2012 - 11:14 AM

#5
I think I only had to do 3-4 months supervised weight loss. The nutritionist was a bit of a drive, so I did one of my supervised WL visits with her and the rest with my PCP.


    taide

    Advanced Member

  • Posts: 40
  • Joined: Sep 2012
  • Surgery: Gastric Sleeve
Posted October 10, 2012 - 5:26 PM

#6
They dead told me my bmi is too low.




    TheRealMeIsHere!

    Bariatric Guru

  • Posts: 431
  • Joined: Oct 2011
  • Gender: Female
  • Location: NEW YORK
  • Surgery: Gastric Sleeve
  • Surgery Date: Jan 2012
  • Height: 5 feet 2 inches
  • Starting Weight: 230 lbs
  • Weight Lost: 121 lbs
  • Current Weight: 109 lbs
  • Goal Weight: 115 lbs
  • BMI: 19.9
Posted October 11, 2012 - 11:34 AM

#7
I'm sorry to hear that. Can the doctor resubmit for approval, emphasizing comorbidities? Sometimes insurance automatically denies, the first time, sort of like a reflex. They save money, that way, because only the truly serious will appeal.

Good luck


    taide

    Advanced Member

  • Posts: 40
  • Joined: Sep 2012
  • Surgery: Gastric Sleeve
Posted October 12, 2012 - 12:19 AM

#8
No he actually didn't send the papers out. This was the second time I met him. I actually need to see the nutritionist I hope I get an appointment soon I think I already gained 3 pounds so I have about 7 more to go.


0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users

Featured Surgeons

Recent Status Updates

View All Updates

Trending Topics