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Help with Medi-cal! -_-

Amanda Ordaz

By Amanda Ordaz, in Insurance & Financing

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Amanda Ordaz    0

Amanda Ordaz
Posted

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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Piper76    2

Piper76
Posted

Do you still need help?

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Healthier2day1227    326

Healthier2day1227
Posted

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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Chinadoll84    1

Chinadoll84
Posted

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.

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MissezV82    27

MissezV82
Posted

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 :)

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Chinadoll84    1

Chinadoll84
Posted

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.

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MissezV82    27

MissezV82
Posted

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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Go To Topic Listing Insurance & Financing

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    • LeighaTR

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      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

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      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
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      1. Selina333

        Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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