PSquared_vsg

I have my 3rd and final weigh in on 10/29, unfortunately this isn't the last thing i have to do before surgery. BUT I'm super excited for it and actually can't believe how quick it went by- even with some stalling from lapse in coverage with medicaid. All I have left to do after this is the endoscopy and a second visit with my nutritionist. My endoscopy can't be scheduled until after my insurance approves it on or after 11/1- which is when my lapse in coverage is officially over! My second visit with the nutritionist should have been done back in september but because of that lapse in medicaid coverage I mentioned, here I am. Still very excited to be where I am and just wanted to share.

I wanted to give an update! I cut hours at work ad submitted pay stubs to be covered by 10/1 and they made an error on their end in our family size, so i had to resubmit some information to be re-processed. So after two VERY VERY long months, I was finally approved for medicaid coverage starting on 11/1! Durring these two months i paid out of pocket for my weigh-ins ($90 a pop). All I have left to do is see my nutritionist one more time and have my endoscopy done & we'll be ready to submit paperwork! It's been frustrating but worth it!

On 8/13/2019 at 3:40 AM, ARMoma45 said:

They should also accept a letter from your supervisor saying that your hours have changed. Otherwise it'd be a check stub. A coworker of mine is going through this with her medicaid...she's pregnant and didn't want to lose the coverage.

Yes! I've already started the process for getting a status review from NJ Family Care. Now I just have to get the letter from my supervisor to speed up the process. Luckily, I spoke to the receptionist at my Dr's office and she said even if I had a (short) lapse in coverage that they would do everything possible to keep my process going as far as weigh-ins etc.

3 hours ago, Mikeyy said:

I'll be paying $4000 just for surgery/ private hospital stay also..

wowww, not including doctors/specialist visits I assume.

4 hours ago, ARMoma45 said:

I'd reduce my hours to keep the medicaid. I have private insurance and i've paid close to $4500 out of pocket so far.

I am actually considering this. I'm just not sure what they'll ask me for... a paystub? and if so, I won't have on that displays a reduction in hours until next Friday Aug 23rd. I guess I'll call and ask what would be required if I"m expecting my hours to be cut.

4 hours ago, GreenTealael said:

Fidelis, check if the surgeon and hospital accepts it

I will check! Thanks!

So, I recently went to see Dr. Vadim Gritsus about getting the sleeve done. I currently have Horizon NJ Health through NJ Family Care (medicaid) but I'm being cut off at the end of the month because my income is now over the limit. NJ Family Care suggested purchasing insurance through the Marketplace. That being said, I'm wondering if anyone knows of an insurance plan offered through the marketplace that has a 3 month or less requirement process for bariatric surgery. I've considered quitting my job in order to keep the medicaid but its just too drastic and I'd rather do the right thing and purchase insurance (the insurance through my job doesn't cover bariatric surgery).My BMI is 41 and I've already been told I qualify.