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.

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.

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.

Do they require a 6 month before surgery nutrition evaluation?

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.

They dead told me my bmi is too low.

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

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.