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Blue Cross Blue Shield Alabama has pre approved my surgery. I also have Medicaid as secondary insurance. Do I have to have a pre-approval from medicaid as well, or is preapproval waived since it’s secondary insurance to a procedure being covered by primary?

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I think I've read that Medicaid (and Medicare, too) cover bariatric surgery.

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On 3/25/2022 at 3:08 AM, Brad86 said:

Blue Cross Blue Shield Alabama has pre approved my surgery. I also have Medicaid as secondary insurance. Do I have to have a pre-approval from medicaid as well, or is preapproval waived since it’s secondary insurance to a procedure being covered by primary?

I have BCBS of Illinois and medicaid as a secondary insurance. What I was told is that the actual doctor visits and surgery are covered by my primary insurance and medicaid covers what they won't (not for the surgery itself, but for the copays and deductibles). I have about $1500 I have to pay for my deductible and out of pocket expense, and medicaid is paying all but $150 of it. So my actual out of pocket costs are $150 for the sleeve. Not bad (I live in Colorado, so their medicaid is amazing).

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10 hours ago, Lauren718 said:

How is it you have insurance and Medicaid

Because the Medicaid dropped to secondary once my insurance through work kicked in. I live in a state that almost never takes Medicaid away completely unless you make a LOT of money. I make good money, but I'm a family of 3 and that raises the amount I can make before they completely take it away, and I'm nowhere near that amount. The amount I can make and keep Medicaid as my primary insurance is pretty low, and I make more than that. But I would have to make more than I do now to completely lose it.

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