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Medicaid pre-surgery weight loss

I read many years ago in a forum that during your six months of trying to lose weight, which is documented by your doctor, that you must lose a certain amount of weight, but that you can’t lose too much weight in order to be covered by Medicaid. I was wondering how much people have lost who were covered by Medicaid, or if anyone has any kind of idea of how much is too much to lose before getting the surgery?

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  • My guess is that your BMI shouldn't drop too low in order to qualify.

  • Sosewsue61
    Sosewsue61

    Don't assume. State plans change frequently depending on contracts. You should be able to login online to your state's website and read the requirements, email specific questions and get answers. Ema

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My guess is that your BMI shouldn't drop too low in order to qualify.

Don't assume. State plans change frequently depending on contracts. You should be able to login online to your state's website and read the requirements, email specific questions and get answers. Email is written documentation and faster than phone calls. Your physician's insurance coordinator has likely dealt with the state requirements and knows the 'ins and outs' of getting approval. Good luck.

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