Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Help with Medi-cal! -_-



Recommended Posts

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!

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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 :)

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 2 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

    • jparadigm

      Hello lovlies!
      Today is a beautiful day in west Michigan! I hope you all have a beautiful Tuesday and rest of your week!! 🤗
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Having gall bladder surgery in a few days and I so hope the recovery is easier than the one from the modified DS! I could use a bit of luck/pep talk for a change. I'm starting to be able to walk around without experiencing dizziness, but it would be great if the random pain in my chest and abdomen would go away!!
      · 0 replies
      1. This update has no replies.
    • Dawn 1974

      4/4/2024 - new patient orientation. Wt 313
      4/5/2024 - got all my lab work done.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×