Hey everyone! New here, and just started my journey of getting approved for Gastric Bypass. I already called my insurance which is Medicaid - Specifically Maryland Psyhisians Care. Has anyone has the 6 month requirement before being approved for surgery? They did not mention that as a requirement but unsure if that will come up when my PCP tries to send in my forms for approval.

I am a bit nervous about that because when it comes to the excercise part its pretty difficult when you have Fibromyalgia, Plantar Fasciitis and a pinched nerve in your back.

Thanks!

I don't have Medicaid but I am familiar with MD healthcare plans. I have BCBS Carefirst Maryland and the 6 month supervised diet is a requirement. Most people I know and have spoken to have needed the diet program. For my plan it is either 6 months in a row or two separate 3 months programs. Weight Watchers, Jenny Craig and any prescribed doctor supervised weight loss programs count. What surgeon and hospital are you gong to?

Johns Hopkins Bayview Medical

I'm going to St. Agnes with Dr. Averbach. He is doing my revision. Dr Von Rueden did my original RNY in 2005

Spoke with 4-5 people from my insurance and still no mention of a monitored diet. Not sure when I will find out. If anyone else has my insurance would love some feedback!

Spoke with 4-5 people from my insurance and still no mention of a monitored diet. Not sure when I will find out. If anyone else has my insurance would love some feedback!

My requirements were 6 month visits, Psyc eval, pcp clearance, and some blood and health tests . I am trying to figure out how long medicaid takes to approve my claim???

Spoke with 4-5 people from my insurance and still no mention of a monitored diet. Not sure when I will find out. If anyone else has my insurance would love some feedback!

Candy, I was never told about the 6 months when I spoke directly to the agents but quickly found out it was required when I first saw my surgeon. So now I'm going through the visits and it feels like it's taking forever.

Hey everyone! New here' date=' and just started my journey of getting approved for Gastric Bypass. I already called my insurance which is Medicaid - Specifically Maryland Psyhisians Care. Has anyone has the 6 month requirement before being approved for surgery? They did not mention that as a requirement but unsure if that will come up when my PCP tries to send in my forms for approval. I am a bit nervous about that because when it comes to the excercise part its pretty difficult when you have Fibromyalgia, Plantar Fasciitis and a pinched nerve in your back. Thanks! <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/smile.png' class='bbc_emoticon' alt='' />[/quote']

It's probably different based on your insurance but with my medicaid I had to do the following

????Certain blood work done by your PCP

Get 6 different clearance letters

????PCP clearance

????pulmonary & sleep study clearance

????gastroentology clearance (sorry I know I spelled that terribly wrong lol

????nutritionist clearance

????cardiologist clearance

????Phyciatrist clearance

Always make sure to get a copy or even better the original clearance letter & results from each doctor once you have all clearance letters you take it to your surgeon he goes over it to see if anything is missing ... Then he write a final and last clearance letter & sends it to your insurance company to wait for an approval ... You complete a pre-op class and do final blood work last but not least the surgery

Seems like a lot of work but the time goes by soooo fast make sure you do the nutritionist ASAP because they take the longest

I'm currently waiting to be approved *fingers crossed ???? GOOD LUCK keep up with the support groups and hope time flies for you

It's probably different based on your insurance but with my medicaid I had to do the following Certain blood work done by your PCP Get 6 different clearance letters PCP clearance pulmonary & sleep study clearance gastroentology clearance (sorry I know I spelled that terribly wrong lol nutritionist clearance cardiologist clearance Phyciatrist clearance Always make sure to get a copy or even better the original clearance letter & results from each doctor once you have all clearance letters you take it to your surgeon he goes over it to see if anything is missing ... Then he write a final and last clearance letter & sends it to your insurance company to wait for an approval ... You complete a pre-op class and do final blood work last but not least the surgery

Seems like a lot of work but the time goes by soooo fast make sure you do the nutritionist ASAP because they take the longest I'm currently waiting to be approved *fingers crossed GOOD LUCK keep up with the support groups and hope time flies for you