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Medicaid?

ecoreen94

By ecoreen94, in Insurance & Financing

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ecoreen94    37

ecoreen94
Posted

I heard if you have Medicaid and you fit under a certain criteria, you can be approved rather quickly. I have a doctor appointment this Monday and I'm going to suggest WLS because after being this overweight for this long I'm fed up and ready for a positive change forever. I have friends that joke and say if I have Medicaid then I'll get approve for surgery the following day but I'm not sure if there's some truth to that.

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BBweightlossjourney    49

BBweightlossjourney
Posted

New York. Sorry didn't mention that earlier.

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I have medicaid in NJ @@ecoreen94 and I'm getting the sleeve May 10th. I started the process in Jan . You will need to first call your medicaid provider and ask if you have that coverage available. Then you need a Doctor to refer you ,and it goes from there.... I hope this helps..

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Brenda Sherwood    64

Brenda Sherwood
Posted

I have medicaid in NV. I went to my primary dr about it in december, she told me what dr in my area covered it through my insurance and we went from there. All programs will require a preop dr supervised diet and lots of testing prior. Originally amerigroup (my insurance ) required 2 yrs, then changed it to 6mo when I signed on, then just changed it to 3mo. I have a tentative surgery date of May 5 and started my liquid diet today, just waiting on final approval for the surgery from insurance. Hoping they say yes soon because this clear liquid diet is HARD

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Brenda Sherwood    64

Brenda Sherwood
Posted

Well, its not that easy apparently. Just was told I was denied due to not having a disabling condition that requires surgery. :( We will be appealing though

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ecoreen94    37

ecoreen94
Posted

Well, its not that easy apparently. Just was told I was denied due to not having a disabling condition that requires surgery. :( We will be appealing though

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Oh no! Sorry to hear. That's what I'm afraid of :/ I don't think I have a condition to be approved. I guess I should start looking up other ways if I were to be denied.

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Valentina    2,642

Valentina
Posted

I'm SURE you have sleep apnea, don't you???????? ;)

Perhaps severe pain in your knees , back or hips??????????

Pre diabetes? high blood pressure?

Job difficulties due to high weight?

THINK...

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ecoreen94    37

ecoreen94
Posted

Nope, I mean the pain just started so it's nothing that my doctor has written down. I don't know if it would look good if she writes it down the day I mention WLS. Diabetes run in the family but Thank God I don't have it and no high blood pressure or sleep apnea. My old doctor did mention PCOS but was formally diagnosed. I don't know if that counts as a condition.

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KristenLe    5,979

KristenLe
Posted

Your BMI is over 40? I don't think you'll need a comorbity but PCOS often counts. It shouldn't matter when you got diagnosed - it makes it much more difficult to lose weight. Also - you're young - so not apt to have any of the usual problems YET. I hope they approve you!

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zenmagic    7

zenmagic
Posted

Yeah...I think you have to have a co morbidity only if your BMI is 35-40. Anything other than that, you don't need a co morbidity for.

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