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Coventry Cares WV Medicaid
AKD40 · 0 replies · 42 views
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WV medicaid
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AKD40
on 7/30/15 10:11 am
Topic: Coventry Cares WV Medicaid

Has anyone been approved through Coventry Cares. Unlike straight Medicaid, you are only required to have 3 months of physician supervised weigh loss but I can't find any other guidelines that have to be met. I have the  sleep apnea, high cholesterol, GERD and Osteoarthritis so I know I meet the medical requirements but I don't know if they require that you lose a certain on your own. Anybody have any experience with them? 

conandjaysmom
on 7/23/15 3:15 pm - point pleasant, WV
Topic: Bcbs highmark of wv?

Anyone have this insurance and if so what is criteria for sleeve and does it cover it I'm getting conflicting information. Thank u.

melody S.
on 5/19/15 12:26 pm - Morgantown, WV
Topic: RE: WV medicaid

I use the form my surgeon's office gave me when I went for my seminar. It has boxes for my original weight, latest weight, exercise(s) and duration of exercises. My PCP fills it out every month when I see her. Your surgeon should give you something similar.

There are seven days in a week and "some day" is not one of them.

    

KittysarusRex
on 5/19/15 12:00 pm
Topic: RE: WV medicaid

How are you doing your exercise?  The way insurance worded it is "a physician supervised nutrition and exercise program, over a consecutive 12 month period, including evaluation and management with a licensed dietician, and increase in physical activity, and behavioral modification."

 

I thought it meant doctor supervised exercise program but the bottom part makes me think exercise in general.  

KittysarusRex
on 5/14/15 6:40 pm
Topic: RE: WV medicaid

Cabell, Looking at CAMC or Cabell Huntington hospital, but I already went to a seminar at CAMC.

melody S.
on 5/14/15 6:38 pm - Morgantown, WV
Topic: RE: WV medicaid

May I ask which county you are in? I'm in Monongalia. My surgeon is Dr. Akkary. Good luck!

There are seven days in a week and "some day" is not one of them.

    

KittysarusRex
on 5/14/15 5:33 pm
Topic: RE: WV medicaid

I've been morbidly obese for most of my adult life with high BP for 10 years now, and had struggles to control it, but, I want to know what "aggressive treatment" is because I'm worried.  My doctor said it would drop with weight loss, and he thinks I'm a good candidate, but I guess it depends on what Medicare thinks. :\

melody S.
on 5/14/15 5:19 pm - Morgantown, WV
Topic: RE: WV medicaid

Good luck to you! It looks like I will have to put my surgery off until January. Again. But this time it just might happen. 

There are seven days in a week and "some day" is not one of them.

    

KittysarusRex
on 5/14/15 5:16 pm
Topic: RE: WV medicaid

Oh!  Thank you so much!  This gives me some hope, as I was looking through cash pay options and getting depressed.

melody S.
on 5/14/15 4:57 pm - Morgantown, WV
Topic: RE: WV medicaid

I got tired of waiting for my surgeon's office to get back to me about it, since the new guidelines went into effect on the first of April. Here is a link to the PDF they sent me. It has the requirements. 

 

http://www.dhhr.wv.gov/bms/Documents/Chapter%20519.4%20-%20Bariatric%20Services.pdf

There are seven days in a week and "some day" is not one of them.