Jump to content
×
Are you looking for the BariatricPal Store? Go now!

BCBS Iowa and Medicaid



Recommended Posts

So, I'm just starting this, like I'm talking to my doctor about this in two weeks. She's mentioned it in passing before, but I've never really wanted to until this last year.

Anyway, I have a BMI of 40.2, co morbidities of pre-diabetes, depression/anxiety, GERD, and chronic gastritis. I have Wellmark BCBS of Iowa for my primary insurance and Medicaid (Amerigroup) as secondary. I am extremely nervous whether I will be approved or not.

My 100% co-morbidities are pre diabetic and depression/anxiety. I was told I had acid reflux by my old doctor, but never officially diagnosed. My chronic gastritis was first diagnosed as gastritis while I was pregnant with my first, any other time it flared up it only sent me to the emergency room. I haven't seen a doctor for that since pregnancy (other than ER visits)

I believe I meet the requirements for Medicaid, but not sure about Wellmark BCBS because it's listed as "investigational".

I'm also not sure if Medicaid (being secondary) would cover it all. For the entire time I've had both, BCBS covered what they would, Medicaid paid the rest.

My worry is if I drop below 40 during the supervised diet, BCBS won't approve it and Medicaid probably won't pay for all of it.

Has anyone had both (or either) and been on the border like I am? Did you have to jump through hoops?

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 0 replies
      1. This update has no replies.
    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×