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Medicaid (Ahcccs AZ complete) 7months into requirements



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Hello everyone,

So I'm getting nervous now! I have Ahcccs w/ AZ Complete Health Plan) & I have been doing all the requirements from my Bariatric Surgeon. 6 months supervised diet w/ chart all chart notes & visit summary (lost 6 lbs, never gained), endoscopy, cardiac clearance (pet scan, echo & EKG), pulmonary clearance (chest x-ray), sleep study, psych eval & clearance, nutritionist, & letter of recommendation from Primary Care doc. I made sure to get copies of everything & sent them to my surgery coordinator in the doctor's portal. FINALLY FINISHED! My surgeon's office is submitting everything next week & I'm nervous! I'm worried if I will be approved or not. Has anyone been in same situation? I am hoping to get VGS.

  • 5'3"
  • 229.5 (1st weigh in) 225lb. (current weight)
  • obstructive sleep apnea
  • hypothyroidism
  • high cholesterol
  • type 2 diabetic ( I was type 2 diabetic, but last blood test reads lower levels to pre-diabetic. I am still on Metformin)

Edited by HAPPYTRACE
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3 hours ago, HAPPYTRACE said:

Hello everyone,

So I'm getting nervous now! I have Ahcccs w/ AZ Complete Health Plan) & I have been doing all the requirements from my Bariatric Surgeon. 6 months supervised diet w/ chart all chart notes & visit summary (lost 6 lbs, never gained), endoscopy, cardiac clearance (pet scan, echo & EKG), pulmonary clearance (chest x-ray), sleep study, psych eval & clearance, nutritionist, & letter of recommendation from Primary Care doc. I made sure to get copies of everything & sent them to my surgery coordinator in the doctor's portal. FINALLY FINISHED! My surgeon's office is submitting everything next week & I'm nervous! I'm worried if I will be approved or not. Has anyone been in same situation? I am hoping to get VGS.

  • 5'3"
  • 229.5 (1st weigh in) 225lb. (current weight)
  • obstructive sleep apnea
  • hypothyroidism
  • high cholesterol
  • type 2 diabetic ( I was type 2 diabetic, but last blood test reads lower levels to pre-diabetic. I am still on Metformin)

I have Sunshine Health medicaid and I have had to have a few tests done that they require, and am still in the process. An endoscopy, a chest X-ray, EKG, sleep study, that nasty swallow test, a stress test, and I have to see a hematologist because I have a bleeding disorder in my family so they want to make sure that the blood thinner won't make me bleed to death and that I also won't get blood clots. They have to figure out exactly how much they can or can't give me when it's time. I've had quite a few surgeries already and have been fine, but this one you get blood thinners after it.
I already have the history of dieting, pills and exercise. I'm 53 and have gone from 350 to 245-250 on my own over the years.
I also have to see the nutritionist two or three times so I can learn how to eat properly. I don't think my surgeon requires the liquid diet, but I do have to be on a Portion Control diet with high Protein. I can lose weight but I'm stuck at this weight so I need a bit of help. I have already changed my way of eating. No fast food, no fried food, way less sugar, but no sweet treats at all. I mostly eat the way I'm supposed to, but I have cheated a bit with a few sodas. After surgery I'm never going to drink them again. Nobody needs that stuff in their body anyway.
My surgeon said if all of my testing is finished and ok that I can have my surgery in November. I've already done some of the tests and Monday I will get my appointments for the rest of them. I'm so excited to be getting the testing overwith and getting started on a new journey.
I'm 5'3
I am 250 approximately. Highest weight was 350
Type 2 diabetic but A1C is 5.8 down from 7.2
High blood pressure
High cholesterol (should be lowered by now)
I used to have sleep apnea but had my tonsils and uvula removed (when I was 50..talk about the pain)

I have figured out that one of my new exercises is going to be hunting for pokemons or whatever they are called..lol I just started playing that darn game and now I'm addicted. :D
I'll be going to the gym too of course.:)


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