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Medicaid process

I'm wondering how long will it take to have my surgery if I have medicaid

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  • Well I known a few people with Medicaid said they had to do the 6 month weight lost management program before being approved for surgery. I don't know what state your from but I live in Illinois and I

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Well I known a few people with Medicaid said they had to do the 6 month weight lost management program before being approved for surgery. I don't know what state your from but I live in Illinois and I'm with an insurance called County Care which is like medicaid but a little different. When talking with my insurance provider, I asked do I have to do the 6 month weight lost management program and they told me it was up too my Doctor. So I will see what happens. I have my first doctors appointment on June 20th.

  • Author

Well I known a few people with Medicaid said they had to do the 6 month weight lost management program before being approved for surgery. I don't know what state your from but I live in Illinois and I'm with an insurance called County Care which is like medicaid but a little different. When talking with my insurance provider, I asked do I have to do the 6 month weight lost management program and they told me it was up too my Doctor. So I will see what happens. I have my first doctors appointment on June 20th.

yes im familair with county care..I was just reading different outcomes and praying that I didnt have to wait that long..I went to doc on may 30 and my surgery is scheduled for july15th..So yeah I agree it has to be up to your doc/surgeon in some cases,,,thanks for the reply!

  • Author

yes I live in Illinois....Im having my surgery through the Surgical Associates at Presence St. Francis Hospital in Evanston...

yes I live in Illinois....Im having my surgery through the Surgical Associates at Presence St. Francis Hospital in Evanston...

I had my surgery at the same place 7months ago.... It went great.... Good luck

  • Author

Oh really

do you mind if I asked you your surgeon was..mine will be dr gruner

Just wanna know ur experience and hospital stay!

  • 2 weeks later...

I'm in Colorado (Medicaid) and it seems to be a six month thing. Each month you have to weigh in with your doctor and they have to note: current diet, weight, and exercise attempts. Then at the end I guess the Dr. refers you.

There's also (in the 6 month meantime) a psychological approval and some nutrition classes I have to take.

I have no idea if this is easy or hard to get approved, but I've heard good things.

  • 2 months later...

I am in Idaho and I have medicare and Medicaid. The insurance biller at Dr. Valentines office said that yes Medicaid requires a 6 month doctor supervised diet. But in my case because medicare is my primary insurance and only requires a 3 month diet and Medicaid follows their lead. What really surprised me was that the 3 months don't have to be consecutive. I was intending to have a gastric bypass a year ago, but I changed my mind. I went back to the same surgeon this month (sept 2014) and was told since I have already been seen twice on a diet I only need to diet one more month!! I was very, very pleased to hear this to say the least. I have to see the dietician on the 30th and then my surgery will be scheduled!!

I had a year waiting period in Georgia was told sometimes it takes three years I also had hernia repair from all my previous surgery I had sleeve surgery in March have loss 90 lbs so happy I had the surgery it was worth the wait

Ohio medicaid here. I had to do a 9 month supervised visit with my PCP.

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