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

NYS MEDICAID (Fidelis)



Recommended Posts

Hi there,

I was able to have VSG through NYS funded health insurance. Anyone else have the same insurance or situation and want to share tips or stories for future patients? Or just want to ask questions? Lets do it here!

Share this post


Link to post
Share on other sites

Hello,

I am currently going through the process to have VSG surgery with NYS health insurance. I have MVP Healthcare and medicaid an I am nervous that I will be denied as I am morbidly obese with a BMI of 45 but do not have any comorbidities. I have a psychiatric evaluation coming up and I have to get a 6 month sign off from my primary doctor.Any advice or tips for me to ease my nerves

Share this post


Link to post
Share on other sites

29 minutes ago, Dezz87 said:

Hello,

I am currently going through the process to have VSG surgery with NYS health insurance. I have MVP Healthcare and medicaid an I am nervous that I will be denied as I am morbidly obese with a BMI of 45 but do not have any comorbidities. I have a psychiatric evaluation coming up and I have to get a 6 month sign off from my primary doctor.Any advice or tips for me to ease my nerves

here's what I suggest because it helped me a great deal :

Contact your insurance company to find out exactly what the requirements are and what would be cause for denial.

Also find out if the procedure is totally covered of if you will be responsible for some of the costs. (my nutrition and sleep evaluations were not covered but required so I have to take care of those)

Track all of your required preop appointments meticulously

Follow the recommendations (diet wise) as best as possible.

Be super proactive and don't wait for the doctors office to stay on top of things for you. You don't know want to waste 6 months of your time if you don't have to.

Congrats you'll do amazing!!!

Share this post


Link to post
Share on other sites

Surprisingly the surgeon who is gonna be performing my VSG is scheduling all of my pre-op appointments for me. They just said that MVP Healthcare is tough. They've been dealing with my insurance on my behalf as well so they know what doctors to send me to for pre-op.

Share this post


Link to post
Share on other sites

My Surgeons office also handled all of my appointments as well but the ladies at the front desk seemed in no rush to get me scheduled asap.for things ...

And I was in a serious rush - I wanted surgery immediately so I stayed on top of things to speed it up. I didn't have a 6 month waiting period with Fidelis. So for me start to finish was just shy of 6 months.

Share this post


Link to post
Share on other sites

Hello, I am also trying to get vsg though Fidelis Ny. do you mind telling me how long it took you to get approved?

Share this post


Link to post
Share on other sites

Hello, I am also trying to get vsg though Fidelis Ny. do you mind telling me how long it took you to get approved?


Hi there,
Any news?

Share this post


Link to post
Share on other sites

I was only required to do 2 months of weigh ins surgery is scheduled for May 11th.




That's awesome

Share this post


Link to post
Share on other sites

5 hours ago, Tyra662315 said:

Did anyone have to lose 5% of their body weight as an insurance requirement with Fidelis?

I don't remember that being a requirement of insurance but definitely a requirement of my surgeon.

Share this post


Link to post
Share on other sites

Ok, I figured as much. I'm worried because I have stuff planned in a few months so I'm on a tight timeline and losing 20lbs is like the last thing left for me to do. Thanks for responding too!

Share this post


Link to post
Share on other sites

Ok, I figured as much. I'm worried because I have stuff planned in a few months so I'm on a tight timeline and losing 20lbs is like the last thing left for me to do. Thanks for responding too!

I suggest developing your new habits now. If you leave it all until right before surgery it becomes a stressor and the transition is not as smooth.


HW 270
SW 238
CW 188
VSG 11/7
[emoji471][emoji471][emoji471]

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

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • ms.sss

      So my surgery anniversary date is on the 24th of this month, but I had my 1-year follow up early with my surgeon this morning (I have another 1-year followup at the hospital on Monday to get my bloodwork and labs done).
      Anyhoo...my surgeon was very pleased with my results (and so where the office staff apparently, because 3 of the front desk ladies came by my exam room to give me props/high fives/generally gawk at me).
      But get this: he asked if I would be willing to come in for a future photoshoot so that I could be on a poster! And I was all, ummmm....no thanks, LOL.
      · 3 replies
      1. RebeccaGut

        https://sweatyquid.com

      2. RebeccaGut

        https://sweatyquid.com

      3. Poergierm

        http://www.financialnews.fyi/forum/profile.php?id=3262 interview spectacular sweetest kramer

    • Krestel

      Today was a really tough day and I turned to food (and a watered down glass of wine). The interesting part was that I felt REALLY full after eating half my go to cheat snack, tortilla chips with cheese. So the GBP is doing its job!
      · 0 replies
      1. This update has no replies.
    • Nomorepasta

      Does anyone know how to change specific info on ur profile ex. Surgery date weight etc. ?..
      · 0 replies
      1. This update has no replies.
    • Krestel

      The only way I can tell that I'm losing weight is from the scale and my clothes "getting bigger".
      · 0 replies
      1. This update has no replies.
    • GreenTealael

      Still Traveling 😥😌😳😂
      · 0 replies
      1. This update has no replies.
  • Trending Topics

  • Together, we have lost...
      lbs
    ×