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Hi I'm new to this I'm pre-op for gastric bypass surgery, I've been over weight my whole life I've never been skinny I'm not mother of 4 kids I'm 5'2 and my starting weight in Jan was 316 in Feb I saw my surgeon to discuss weight loss surgery and he said gastric bypass would be good for me I started my journey in Feb this month on July 20th is my last class and they will submit my paperwork to my insurance as of today I'm 283, my question is who here has Medicaid and it's under United health care community plan?? If so did u have any issues getting approved?? I suffer from high blood pressure, I have a bad back injury from being hit by a drunk driver which requires me to get steroid shots every month and be on high pain killers, I also suffer from depression and anxiety and Ptsd, this wkend I will be getting tested for sleep apnea my husband said there are times I stop breathing at night, I've tired to lose the weight on my own the most I've lost is 20lbs but then I always gain double back, if there is anyone out there that has the same insurance as me I would love to hear from u or if u have Medicaid and from Texas plz let me know what ur insurance is and if they cover your surgery my bmi is 50.4

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I'm sorry you haven't received a response. I am afraid I don't have same insurance but I just wanted to respond and say don't give up!!

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I have UHC!! I go to pain clinic too (for my back & knees)...I have 5 kids...started journey about Jan too...my last Dr visit was 7/8/16... Just waiting on a "Support Letter" from PCP to fax to my surgeons & they will write up why I need surgery & submit all paperwork next week....

I don't foresee any problems as far as my medical assistance paying for the surgery...& neither does my Bariatric surgeons....as long as you have co-morbidities you shld be fine!! I'm from WI....I made a special FB for Bariatric support if you want to keep in contact w/ me there or just want to hear from others on support....Lmk ????

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BariatricGirl4Life is my FB name

Sent from my iPhone using the BariatricPal App

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I have UHC!! I go to pain clinic too (for my back & knees)...I have 5 kids...started journey about Jan too...my last Dr visit was 7/8/16... Just waiting on a "Support Letter" from PCP to fax to my surgeons & they will write up why I need surgery & submit all paperwork next week....

I don't foresee any problems as far as my medical assistance paying for the surgery...& neither does my Bariatric surgeons....as long as you have co-morbidities you shld be fine!! I'm from WI....I made a special FB for Bariatric support if you want to keep in contact w/ me there or just want to hear from others on support....Lmk ????

Sent from my iPhone using the BariatricPal App

BariatricGirl4Life is my FB name

Sent from my iPhone using the BariatricPal App

Congrats hun, and yeah definitely what's it called?? The only issues I have is depression anxiety Ptsd, I have osteoarthritis they said I inherited that I have a bad back injury from being hit by the drunk driver I see my pain Dr every month and go for monthly shots and also I have high blood pressure that's the only thing I wonder if that will effect it since I don't have diabetes or anything else my bmi is 50 thought. My surgeon didn't ask for a support letter all I needed was the ok from my psychiatrist and heart Dr and they did that already

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Yeah I think if you have your Dr back you up...you shld be fine! Let us know as you go through the process! ????

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Omg so I called my Dr office because last month they submitted to have my edg done but haven't heard back from them, so the gentleman said he would look into so he says mrs.robledo I see your last nut class is July 20th he said I can put u on the schedule for August 26th for your edg it won't affect your wait time for your bypass he said that after nut class he will submit the paperwork and if I get approved they will do my bypass the same day as my edg on August 26th!!!!! Ahhh how awesome is that I need good vibes and prayers yall, this will be an awesome 30th bday present to myself since my bday is Aug 9th

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Hey hun yes I got approved I had surgery sep 22nd 2016 day of surgery I was 273.6 and today I'm 185.2 I'm down 115lbs and I feel amazing I'm goal is 145 but my surgeon thinks I will be smaller. I went from a size 24 in pants and 4x in shirts now I'm a size 10 pants and large-medium shirt. The pic on the left was me June 2016 and the pic on the right was the other day same outfit it's crazy if you would of told me I would be this size last year I would of laughed in your face. I even chopped off my hair

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I have private insurance but it sounds like with your BMI and comorbidities you should qualify. The classes I go to talk about the different insurances and it sounds like it shouldn't be an issue.



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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

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    • ChunkCat

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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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