Medicaid and Dr. Shina

Cynthia Smith
on 3/26/07 1:43 pm - Bronston, KY
Does anyone have Medicaid and going to Dr. Shina? I was just wondering how quick the process is. My consultation is April 3rd. Thanks
Tony Hackworth
on 3/27/07 5:41 am - Prestonsburg, KY
Hi, I didn't have Dr Shina but I did have Medicaid. It was a pretty quick process for me, I was approved in 24 hrs. The only thing that held me up was losing some weight before the surgery, There guidlines aren't as strict as some Insurance companies such as having to do a diet for 6 months and stuff like that. I'd say it will move fairly quickly for you as well, What time I was waiting I was just on here soaking up all the Info I could...And I'm glad I did. Take care and Goodluck to you.
Cynthia Smith
on 3/27/07 6:02 am - Bronston, KY
Thanks, that helps. I was wondering if you had to have certain things wrong with you before they would approve. I really dont have like high blood pressure or diabetes that I know of. They might find that when they run test, but for now I am just really overweight and have little things like knee problems, fatigue stuff like that. Well thanks. Cindy
Tony Hackworth
on 3/27/07 8:36 am - Prestonsburg, KY
I didn't really have that many Co-Morbs neither, I was just starting to develop Diabetes, And Remarkably my Blood Pressure wasn't that high for me being so Obese. As long as your BMI is over 40 I would say you'll be fine, My letter from my PCP probably helped alot as well. GoodLuck!
April R.
on 3/27/07 8:07 pm - Denver, KY
Will any doctor take Medicaid or just certain doctors?
Tony Hackworth
on 3/27/07 8:09 pm - Prestonsburg, KY
Just certain ones, You can look on OH for Dr's in or around KY that accepts Medicaid.
Cynthia Smith
on 3/28/07 7:14 am - Bronston, KY
Hey April, the only doctors that I know of in Ky are with Dr. Shina. There are several that are with him. I have checked with alot of doctors because I didnt want to have to travel to Louisville. But I am so ready and able and so willing to travel now. I know that I have called Georgetown and Lexington and they all have reffered me to Louisville. I called about 2 weeks ago and my first consultation is April 3rd, I hope everything moves that fast. Hope this helps. Cindy
David Geller, MD
on 3/29/07 12:37 pm - Louisville, KY
Cindy, Medicaid policy has changed in the last 6 or 8 months. They do now require 6 month Medical Weight Management, where they didn't use to. There are not many bariatric surgery doctors in the state that participate with Medicaid, and for that matter, Medicare either. In Louisville, I believe most of the Norton affiliated surgeons practices participates with Medicaid and Medicare, including my solo practice @ Suburban hospital Dr. Shina's solo practice @ Suburban hospital and the USA surgeons @ the downtown Norton Hospital (Allen,Larson and Rodgriquez). I hope this helps. David Geller, MD Bariatric Surgeons of Kentuckiana Medical Director Norton Suburban Bariatric Surgery Program 4001 Dutchmans Lane, 1E Louisville, KY 40207 (502) 893-7151
Cynthia Smith
on 3/29/07 2:17 pm - Bronston, KY
thanks. I have heard that about the 6 months of medical weight management. Does this mean when I come for my consultation I will have to wait another 6 to 8 months and go through medical weight management. Or does it mean the 6 to 8 months that I have already done in the past?
David Geller, MD
on 3/29/07 2:32 pm - Louisville, KY
It depends. I think that Medicaid requires 6 months documented physician supervised Medical Weight Management. But i am not completely sure. I know a few months ago we got a letter from medicaid reporting the new guidelines whi*****lude more requirements than their previous guidelines. Dr. Shina's office might know. I know we have that documentation of requirements at my office, but I don't have that in front of me right now. David Geller, MD Bariatric Surgeons of Kentuckiana Medical Director Norton Suburban Bariatric Surgery Program 4001 Dutchmans Lane, 1E Louisville, KY 40207 (502) 893-7151 [email protected]
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