Insurance ended in middle of process/will Medicaid pickup or make me start over again ?

[Pixxidust 0]

So I have a question for you guys, i began this process in October and I have completed my dietitian appointments, fitness test, psych eval, sleep study etc and I’m just waiting for the surgery date.

My husband recently lost his job and I no longer have the insurance with which I had started this journey. I’m now waiting for an answer about Medicaid Ohio application that we submitted two weeks ago.

Has anyone been through something similar? Once I get approved for Medicaid , will they make me start the process all over again?

[NovaLuna 710]

I think as long as the doctor has the documentation to prove you meet whatever guidelines they set up for surgery then you should be fine. In California that is a 6 month monitored weight loss program with at least 3 visits to the nutritionist, a psyche eval, pulmonary and cardiac clearance, and you have to go to all the set meetings and such before your surgery to get approved. Just check and find out what's required and give them the proof that you've done what was required to get approved and I don't think that there will be a problem. You can always call and speak with the insurance directly if you want them to walk you through what you have to do and if it'll put your mind at ease. Best of wishes to you and try not to stress too much, I'm sure it'll work out for you!

[GradyCat 3,697]

I had this exact same thing happen. I started the process under regular commercial insurance. Then during the process I became disabled and switched to Medicare. Medicare covers weight loss surgery and picked right up without a hitch, not making me jump through any additional hoops.

[ecugsplgrl 34]

I changed jobs in the middle of my process and they submitted documentation to new insurance and they only wanted me to redo one thing (nutrition assessment) and approved. Good luck!

[GreenTealael 25,545]

9 hours ago, Pixxidust said:

So I have a question for you guys, i began this process in October and I have completed my dietitian appointments, fitness test, psych eval, sleep study etc and I’m just waiting for the surgery date.

My husband recently lost his job and I no longer have the insurance with which I had started this journey. I’m now waiting for an answer about Medicaid Ohio application that we submitted two weeks ago.

Has anyone been through something similar? Once I get approved for Medicaid , will they make me start the process all over again?

You may need to figure out which managed care program you will be under (if any) but here are a couple of links. I highly recommend calling to find out then asking for more information in writing (once you are approved for the new health insurance policy)

https://www.molinahealthcare.com/~/media/Molina/PublicWebsite/PDF/providers/oh/medicaid/manual/manual_oh_benefits-index-11-2012.pdf

https://www.caresource.com/documents/medicaid-oh-policy-medical-mm-1061-20201201/

Edited February 4, 2021 by GreenTealael

[Pixxidust 0]

Thank you so much for the helpful feedback everyone, you guys are awesome❤️