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does medicaid pay for lap band (not medicare but medicaid)



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i am from missouri and the only place here that i know of that takes only medicaid is university hosp. in columbia missouri. my daughter will be having hers done there. i am having mine done in st johns in springfield missouri because they accept medicare and medicaid together. but will not do medicaid by itself.alsp look on the posts. fatman903 says texas medicaid does pay. it has to be a center of excellence in bariatric surgery.

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Ok I have been researching this all over what I found is that Medicaid will pay for the surgery if you have Amerigroup they will make you do a 6mnth to a yr supervised diet first and Peach state doesn't and Peachstate is an easier approval, I know that Dr.Duncan and Dr.Hobson office in Atlanta do take medicaid I am going to there seminar on the 16th of this mnth. now the only thing I am trying to confirm is that Peachstate will cover Lapband..........:unsure:

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Can someone please tell me exactly how long it took to get approved, what you had to do, what tests you had to have, and the time line?? Or is there any blogs?

For where I am they require a one year doctor supervised diet with no weight change, and then a six month diet losing 10% of your weight and keeping it off. Right now I am doing the waiting game. My insurance specialist at the bariatrich center submitted my papers to just 'see what happens' and of course I was denied saying that I didn't have the six month diet. I started on March 25th so I can submit my papers on August 25th. THEN I have to wait another six weeks to get scheduled for surgery because that is how the doctor spaces out her medicaid surgeries, so I'm looking at the end of October.

I am so afraid that I will work hard to get these 30 pounds off and then have them say... sorry we still won't pay for it. I know that either way losing weight is a good thing for me, I'm just sitting on pins and needles because its something I want SO BADLY.

I love to hear stories so please post yours to give me something to do in the meantime!

THanks!

Jen

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Jen,

Where are you located? Do you have Medicaid ? If so what type of Medicaid like here in GA we have Amerigroup, Peachstate , and Wellcare they are all Medicaid.

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Darkangel101, im in marietta and i will be opening up my medicaid in a few weeks. Can you tell me is Peachstate is the easiest to be able to get this procedure down. Also which Dr. are you going to see and a number for them .I now I will be able to get this covered as I have BMI of 43.8, High blood pressure, Borderline diabeties and sleep apena. Tell me how the info seminar went as I want to get this done by the end of the year. What is Peachstates criteria to cover this procedure? Thanks:thumbup:

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Ok. My question is....

If you are low income how do you get medicaid? Is it through welfare? Do I have to have kids? Have to have disability?

I am in search of how I can get insurance to cover this surgery. I have a high BMI, asthma, and I am pre-hypertension which will soon turn into HBP.

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HI , i wanted to let you know that there is hope . i live in Albuquerque New mexico and i'm curently on med. i was also not sure if they would or would not but i went for it and just my luck they do . i did have to do a 6 month diet reg. but those 6 months flew by , i just finished and now i have to fax all the info to the surgen . who is in El Paso TX. and im not ex. sure whats the next step is but i know that im that much closer to setting a date . . soo in my expier. so far medicaid is covering the surg. good luck to you . p.s keep me posted

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I am new this site and i am trying to get updated infor. About lap band in ill on medical card in southern il i would be gratefull.

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yes medicaid in texas will pay for lapband

has to be a center of excellence

contact me for more info id love to help out:thumbup:

i live in houston texas please help me i want to get the lapband surgery i have medicaid where do i start off can someone help me ? Email me adrianaflo25@yahoo.com

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I am from Michigan medicade just approved my surger for the lapband. There were a lot of hoops I had to jump through to get it approved. The first hoop was making sure that I went to see a dietion for a year. Then I had to have a medical condition that was a result of my being over weight. I was diagonsed with sleep apnea about 6 months ago. After that I had to have an MMPI2 test to make sure that I was mentally ready for this surgery. Once that was all done the doctor sent it off to my medicade insurance company (I have Great Lakes Medicade) and with in 2 weeks I recived my approval. I will be having surgery at Hurly hopital in Flint Michigan on the 29 of July.

Hope this helps

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I am a mother of a 17 month old looking for a doctor will bless my life. So that i may lead a better life and take care of my son. I have several references from my primary physicians explaining why this surgery can save my life. I have full medicade coverage and medicade is willing to cover my surgery only if i can find a doctor kind enough to accept me as a patient.My bmi is 51. I have sleep apnea and osteoarthritis in my left knee. It is so advanced that my knee looks of a 60 year olds. PLEASE HELP! Thank you and God Bless.

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I am a mother of a 17 month old looking for a doctor will bless my life. So that i may lead a better life and take care of my son. I have several references from my primary physicians explaining why this surgery can save my life. I have full medicade coverage and medicade is willing to cover my surgery only if i can find a doctor kind enough to accept me as a patient.My bmi is 51. I have sleep apnea and osteoarthritis in my left knee. It is so advanced that my knee looks of a 60 year olds. PLEASE HELP! Thank you and God Bless.

Where do you live? I live in Michigan and I know that Hurly Medical Center works with medicaid.

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Where do you live? I live in Michigan and I know that Hurly Medical Center works with medicaid.

I live in Harvey, La thats about 15mins outside of New Orleans City Limits...Can you find out if your doctor knows any doctors here that will help me???

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I live in indiana and have a bmi of 37 i get wore out and my heartrate gets to like 115 just walking i was owndering if anyone from indiana got approved? and how difficult is it as i am low income indiana and get tanf and food stamps

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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