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(Apple Health ) Other acceptable Co-Morbidities aside from the top 4.



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I'm curious to know if there's any one out there with Medicaid though Washington State who has gotten approved with disabilities aside from the top 4. I've seen an extended list for regular insurance owners,but curious if medicaid adopts some of them on a case-by-case basis. (E.g GERD, Depression, etc.) Thanks in advance!

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Update:

I'm using Molina BTW

I've heard conflicting info from everyone about what Molina WILL cover. I called Rockwood in Spokane and the representative said that with Molina, all you need is an BMI of 40.. that's enough. She explained that they do not take plain ole' medicaid..only Molina medicaid.

So, unconvinced, I called Apple Health Molina and was actually told by a representative there (including the Lead Rep) That there is 3 different ways to get approved.

A. BMI of 40 or over 100kg

Or

B. BMI of 35 or higher with one or more comorbidities.

Arthritis

sleep Apnea

High Blood Pressure

High Cholesterol

Type 2 Diabetes

Venous Stasis Disease (Collection of Blood in the Lower Limbs)

Congestive Heart Failure

Fatty Liver Syndrome

Gall Bladder Disease

Depression

Stroke or Stroke Risk

GERD (Acid Reflux Disease)

Or

C. BMI 30-35 with DM II or metabolic syndrome.

I asked the representative if I could have the bariatric program requirements in a file or letter.. she says that it couldn't be given to me as its used for them to review each case..and that I could obtain it through my PCP. That was the first time I heard of three ways to get approved for stage 1.

Thought I'd share!

Sent from my SM-G900T using the BariatricPal App

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I also have l Apple Health Molina and I'm starting my stage 2 I'll be going through UW. Thanks for the info

Sent from my LG-H811 using the BariatricPal App

Very awesome! I was approved in August and I'm barely finishing month one.. I've got all my appt. close together so I can hopefully finish everything by mid november! Otherwise I'd be finished about February.. congrats on your stage 2 approval! !

I Love being an RRT!

Saving Lives One Breath At A Time.

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I also have l Apple Health Molina and I'm starting my stage 2 I'll be going through UW. Thanks for the info

Sent from my LG-H811 using the BariatricPal App

Very awesome! I was approved in August and I'm barely finishing month one.. I've got all my appt. close together so I can hopefully finish everything by mid november! Otherwise I'd be finished about February.. congrats on your stage 2 approval! !

I Love being an RRT!

Saving Lives One Breath At A Time.

Thank you. It seems like we pretty much have the same timeline which is pretty neat. I hope things go really smoothly for you.

Sent from my LG-H811 using the BariatricPal App

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I also have l Apple Health Molina and I'm starting my stage 2 I'll be going through UW. Thanks for the info

Sent from my LG-H811 using the BariatricPal App

Very awesome! I was approved in August and I'm barely finishing month one.. I've got all my appt. close together so I can hopefully finish everything by mid november! Otherwise I'd be finished about February.. congrats on your stage 2 approval! !

I Love being an RRT!

Saving Lives One Breath At A Time.

Thank you. It seems like we pretty much have the same timeline which is pretty neat. I hope things go really smoothly for you.

Sent from my LG-H811 using the BariatricPal App

I appreciate that! Same for you! Patience is everything at this point...

I Love being an RRT!

Saving Lives One Breath At A Time.

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    • 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.
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    • 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

        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.

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