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

Getting Approved Through Medicaid?



Recommended Posts

Hello everyone! I'm a in the process of getting my sleeve approved through Soonercare (Medicaid in Oklahoma). It is taking FOREVER and I was wondering if anyone else has been through this process before and have any words of advice for an impatient Okie.

Share this post


Link to post
Share on other sites

Good luck to you! Keep your chin up and remember this journey is your own. Keep positive!

Share this post


Link to post
Share on other sites

Great to see our tax dollars hard at work! It should be difficult for you to be approved. Get a job and get real insurance or just pay for it like the rest of us.

Both my husband and I work and pay taxes. We have Medicaid because our employers suck plus our son has autism and the coverage applied to my husband and myself. Maybe you should stop judging a book by its cover!

OP- don't pay any attention to naysayers. I'm sure you'll find out soon. :-)

Share this post


Link to post
Share on other sites

Well..... Rather than being rude I will tell you.... Good for you in your work towards this! Secondly I am in Colorado but I do know that some others in my support group who have gone through Colorado Medicaid have heard something in just about 14 days. How long is "forever"? Are you sure you know the right submission date? Just wondering if it took your surgeons office longer to submit the paperwork than what you are aware of? Have you asked them the general turn around time from your particular insurance? Good Luck! Looking forward to your acceptance post!

Share this post


Link to post
Share on other sites

Thank you to everyone who wrote POSITIVE posts. I can assure you that if I had my choice I wouldn't be on medicaid, but I will not be bulied or embarrassed to use the insurance the state has determined I qualify for. It has been more than comforting in my situation to have insurance.

I am in the begining stages of the process and I'm being impatient, mostly. I am really unsure how it all works. I was just looking for others who have been there and done that :) I know that I will get approved, I met all the criteria, I'm just nervous.

Share this post


Link to post
Share on other sites

thts so sad this suppose to a support page to me it sound like she's hating but hun good luck I'm happy for u

Share this post


Link to post
Share on other sites

thts so sad this suppose to a support page to me it sound like she's hating but hun good luck I'm happy for u

Share this post


Link to post
Share on other sites
Guest

I'm disgusted by what I read earlier on this thread. It doesn't matter if its a support board- everyone deserves respect & dignity, regardless of their financial status. You have NO idea of a person or family's situation- so do us all a favor and STFU.

Share this post


Link to post
Share on other sites
Guest

And good luck OP. keep your head held high and I will keep you guys in my thoughts. :0)

Share this post


Link to post
Share on other sites

Thank you to everyone who wrote POSITIVE posts. I can assure you that if I had my choice I wouldn't be on medicaid' date=' but I will not be bulied or embarrassed to use the insurance the state has determined I qualify for. It has been more than comforting in my situation to have insurance.

I am in the begining stages of the process and I'm being impatient, mostly. I am really unsure how it all works. I was just looking for others who have been there and done that :) I know that I will get approved, I met all the criteria, I'm just nervous.[/quote']

Wow. Sorry for mean people. I was sleeved with Medicaid and so thankful. We are trying to better ourselves here. I was approved quickly because of my comirbidities and medications I was taking. Good luck!

Share this post


Link to post
Share on other sites

I too am in Oklahoma. been trying to get Medicaid to pay for the surgery for over a year now.

Share this post


Link to post
Share on other sites

My was approved in a day but I had everything done. 6 mos preoperative diet, psychological evaluation, nutrition visit & my PCP paperwork all filled out. I'm in Tn but I would think all of it is the same. If you have talked to your PCP before about your weight &;have told them your were doing a diet ( weight watchers, 1800 calories diet, anything like that) your PCP might be able to sat you have done your 6 mos diet. Just make sure they have your beginning weight & current. The key is having all you paperwork CORRECTLY filled out. Hope this helps. Good luck.

Share this post


Link to post
Share on other sites

Oh & don't let people put you down for having state insurance. I worked 40-72 hrs a week at a high paying job. paid in Thousands of dollars in taxes. Now because of life's turns & twist I'm working part time for $7.25. When anyone says anything negative to me about my insurance I just tell them I'm just using what I paid in for 20 years! If you haven't walked in someone's shoes then don't judge! We all need help sometimes.

Share this post


Link to post
Share on other sites

Listen who ever is knocking people with Medicaid SCREW YOU! Excuse my French but it really pisses me off! Nobody knows anyone's situation so who the hell are you to judge! I went from having the best insurance in the world that covered my surgery 100% with no out of pocket cost to me and at the end of the year my company decided to switch to these high deductible plans which I could not afford being a single parent ! So my amazing surgeon suggested that I see if Medicaid would even consider me and guess what ?! I qualified! And I am so greatful because it if DIDNT I would have to pay out of pocket like the rest of people (which is great and I commend anyone who does it) but like I said I am a single mother doing all this on my own and living in one of the most richest counties in America that $4000 I would have to spend to have surgery would of been my rent ! So do not ever knock anybody for using the resources the state gives you! Because one day that might be you in their shoes!!!!

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

    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 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

    ×