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denied

I did everything required by my fidelis medicaid. I fit into their requirements with my BMI. They are saying it's to low (35.7) for my height I'm still obese. Now I have been denied. The surgeon did a peer to peer and was denied. The head nurse had me file a complaint w the Attorney General and went for an appeal w their support and was denied again. Now I am going for an external appeal. I am very upset and disappointed. I do not know what to do.

Edited by Jennimomma201943
Clerical error

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  • Jennimomma201943
    Jennimomma201943

    Good news! I finally got approved after 3 appeals. I have the surgery this Wednesday. Thank you everyone for the support. It was much help when I was a mess trying to get my appeal approved.

  • Kristinqtpie
    Kristinqtpie

    Look at Blossom Bariatrics...the most you will pay is $15,500 but they will try to work with your insurance to take care of testing and stuff so your price could be less but that’s the max you will pa

  • Jennimomma201943
    Jennimomma201943

    Ok I'm 4 days after my surgery and am starting to feel a little better. I had a hard time with the anesthesia so it set me back. At first I was like "what the hell did I do!" It's getting better tho

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I am so sorry you are having such difficulties with this. Sending good vibes your way - I hope it ends up working out for you. xo

19 hours ago, Jennimomma201943 said:

Good news! I finally got approved after 3 appeals. I have the surgery this Wednesday. Thank you everyone for the support. It was much help when I was a mess trying to get my appeal approved.

Congratulations!! That's wonderful news!! Good luck on your journey!

On 4/7/2019 at 9:20 AM, Jennimomma201943 said:

I have been trying to find out how much it will cost if I self pay. Does anyone have any idea so I get a roundabout figure?

My total bill was $40,000+ but they probably cut discounts for self-pay.

I did everything required by my fidelis medicaid. I fit into their requirements with my BMI. They are saying it's to low (35.7) for my height I'm still obese. Now I have been denied. The surgeon did a peer to peer and was denied. The head nurse had me file a complaint w the Attorney General and went for an appeal w their support and was denied again. Now I am going for an external appeal. I am very upset and disappointed. I do not know what to do.
Keeping fighting for your health. So them how important this procedure is for your health.
I did mine in Mexico on 3/28.. Total Cost was $3900.00. These doctors average 3 or 4 of these surges daily so they are very experienced. Of course you have to pay for flight and 1 night hotel to San Diego. No complications and have lost close to 30 lbs. my starting BMI before surgery was around 35.
  • Author

Ok I'm 4 days after my surgery and am starting to feel a little better. I had a hard time with the anesthesia so it set me back. At first I was like "what the hell did I do!" It's getting better though little by little. I just have a pit in my stomach a lot from not being able to have anything but liquid right now. Thank you everyone for your support. I had no idea how this forum would help me through this but it truly has.

I am glad to hear that your surgery went well and you are doing great. Your will to never give up when others say no is truly inspiring. I have my surger next Monday and I cannot wait. This forum has also help me so much.

  • Author
On 4/21/2019 at 8:09 AM, SusieQ2019 said:

I am glad to hear that your surgery went well and you are doing great. Your will to never give up when others say no is truly inspiring. I have my surger next Monday and I cannot wait. This forum has also help me so much.

Thank you so much. Good luck to you on your surgery.

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