has anyone use Indiana Medicaid? And is it hard to get approved through Medicaid?

You should call to find out what your state requires. Every state is different, I'm from Arkansas and Medicaid pays 100% of weight loss surgery here.

thanks so much I will do that

was it hard to get approved in your state? I'm so worried I wont get approved,

I have UHC insurance through my husband's work. My husband and I went to a seminar for my husband, so he can start the program. The insurance coordinator was there and she explained that Arkansas pays 100% if you have Medicaid, but Medicare only pays 80%. Good luck with your WLS journey and keep us posted.

so I called my provider and asked about guidelines and coverage and she told me Medicaid would cover WLS 100%.then I asked what the guidelines are to get approved ? and she said what do you mean guidelines? I don't understand and continued saying ma'am as long as your PCP sends a referral saying its a medical necessity then we should have no problem .I couldn't believe what she was saying because it sounded to good to be true(to easy). I said so there's nothing I need to do to help me get approved ? things like 6mth of weight loss documented by my PCP and BMI level etc. she kept saying as long as my PCP sends a referral saying its a medical necessity that should be all you need. for some reason I still don't believe it and I'm calling back tomorrow . So my question is has anyone been approved with just a referral from PCP?

so I called my provider and asked about guidelines and coverage and she told me Medicaid would cover WLS 100%.then I asked what the guidelines are to get approved ? and she said what do you mean guidelines? I don't understand and continued saying ma'am as long as your PCP sends a referral saying its a medical necessity then we should have no problem .I couldn't believe what she was saying because it sounded to good to be true(to easy). I said so there's nothing I need to do to help me get approved ? things like 6mth of weight loss documented by my PCP and BMI level etc. she kept saying as long as my PCP sends a referral saying its a medical necessity that should be all you need. for some reason I still don't believe it and I'm calling back tomorrow . So my question is has anyone been approved with just a referral from PCP?

I know In Fl with Medicaid you have to do 6 months Documented weigh-Ins with your Pcp. An whatever else the surgeon tells you. Like Psych eval, see the Nut, EGD, Pulmonary clearance,Cardiologist clearance and mabey a sleep study. To be honest I think Medicaid requirements are the same In every state but don't quote me on that hope this helps

Edited May 4, 201412 yr by Shauna29

In New York, Medicaid will ask you to have six weigh-ins and six nut visits, and a 'medical necessity' evaluation from the surgeon. They tell you that you must have a BMI of 40+, and two disabling conditions. They make it sound complicated, but when it really gets down to it, you will see yourself through it.