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Help with Medi-cal! -_-

Hi, my name is Amanda and due to recently being laid off I currently do not have a fantastic health insurance I do however have Medi-cal california. I dont know much about whether they will or will not cover the gastric sleeve I have read of it being possible but if anyone knows for sure please do let me know. And please please also let me know how I would go about the process of being covered. I'm in dire need of this surgery. And I am willing to in-house finance so if you have information on that as well please let me know. Thank you very much!

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  • Healthier2day1227
    Healthier2day1227

    I have Medi cal and it covered this surgery. My dr made a referral based on my bmi. So it can be done!

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Do you still need help?

I have Medi cal and it covered this surgery. My dr made a referral based on my bmi. So it can be done!

  • 4 weeks later...

Do you still need help?

Hi I need help I am currently with healthnet through seaside medical group how long did it take you to get approved with the medical group your with and what was the requirements, I already completed my physch eval and I have a history of attempted weight loss with a dr and I turned in the records.

Hi, I have medi-cal in Cali and just had my sleeve done in May. The whole process took me about 5 months. The approval took about a week. Feel free to message me if you have any questions :)

Hi, I have medi-cal in Cali and just had my sleeve done in May. The whole process took me about 5 months. The approval took about a week. Feel free to message me if you have any questions :)

Hi MissezV I started my process in July I needed to get a physch eval done before I could even submitt my paper work and finally I had it the end of Sept, I am confident I have everything I need to submit but my only concern is the weight loss history, I was on a weight loss journey on and off from 2008 thru 2012 and it is documented but it isnt a consistent 6months do you think this will be ok also what were your requirements and the Dr that did your surgery.
Hi MissezV I started my process in July I needed to get a physch eval done before I could even submitt my paper work and finally I had it the end of Sept' date=' I am confident I have everything I need to submit but my only concern is the weight loss history, I was on a weight loss journey on and off from 2008 thru 2012 and it is documented but it isnt a consistent 6months do you think this will be ok also what were your requirements and the Dr that did your surgery.[/quote']

Hi sorry it's taken me a few days to reply. Media-cal never asked for any weight loss history. All I ever needed was a referral from my primary care doctor, who was actually a new doctor and the first time I went to see him was for the referral. All he did was check my bmi and then I had to get clearance from all the other doctors they send me to see; lung, heart, physch eval etc... After that was done the surgeons office submitted my paperwork and I was approved in a week and given a date about three weeks out. My doctor was Thomas Hirai in San Jose

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