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Medicaid?

ecoreen94

By ecoreen94, in Insurance & Financing

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ecoreen94    37

ecoreen94
Posted

I heard if you have Medicaid and you fit under a certain criteria, you can be approved rather quickly. I have a doctor appointment this Monday and I'm going to suggest WLS because after being this overweight for this long I'm fed up and ready for a positive change forever. I have friends that joke and say if I have Medicaid then I'll get approve for surgery the following day but I'm not sure if there's some truth to that.

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BBweightlossjourney    49

BBweightlossjourney
Posted

New York. Sorry didn't mention that earlier.

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I have medicaid in NJ @@ecoreen94 and I'm getting the sleeve May 10th. I started the process in Jan . You will need to first call your medicaid provider and ask if you have that coverage available. Then you need a Doctor to refer you ,and it goes from there.... I hope this helps..

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Brenda Sherwood    64

Brenda Sherwood
Posted

I have medicaid in NV. I went to my primary dr about it in december, she told me what dr in my area covered it through my insurance and we went from there. All programs will require a preop dr supervised diet and lots of testing prior. Originally amerigroup (my insurance ) required 2 yrs, then changed it to 6mo when I signed on, then just changed it to 3mo. I have a tentative surgery date of May 5 and started my liquid diet today, just waiting on final approval for the surgery from insurance. Hoping they say yes soon because this clear liquid diet is HARD

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Brenda Sherwood    64

Brenda Sherwood
Posted

Well, its not that easy apparently. Just was told I was denied due to not having a disabling condition that requires surgery. :( We will be appealing though

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ecoreen94    37

ecoreen94
Posted

Well, its not that easy apparently. Just was told I was denied due to not having a disabling condition that requires surgery. :( We will be appealing though

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Oh no! Sorry to hear. That's what I'm afraid of :/ I don't think I have a condition to be approved. I guess I should start looking up other ways if I were to be denied.

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Valentina    2,642

Valentina
Posted

I'm SURE you have sleep apnea, don't you???????? ;)

Perhaps severe pain in your knees , back or hips??????????

Pre diabetes? high blood pressure?

Job difficulties due to high weight?

THINK...

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ecoreen94    37

ecoreen94
Posted

Nope, I mean the pain just started so it's nothing that my doctor has written down. I don't know if it would look good if she writes it down the day I mention WLS. Diabetes run in the family but Thank God I don't have it and no high blood pressure or sleep apnea. My old doctor did mention PCOS but was formally diagnosed. I don't know if that counts as a condition.

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KristenLe    5,980

KristenLe
Posted

Your BMI is over 40? I don't think you'll need a comorbity but PCOS often counts. It shouldn't matter when you got diagnosed - it makes it much more difficult to lose weight. Also - you're young - so not apt to have any of the usual problems YET. I hope they approve you!

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zenmagic    7

zenmagic
Posted

Yeah...I think you have to have a co morbidity only if your BMI is 35-40. Anything other than that, you don't need a co morbidity for.

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

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      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💪
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