Tennessee Medicaid bluecare coverage?

Malmal0712
on 5/25/14 1:43 pm - Milan, TN

Hi yaw! I'm new to all of this and as of now I weigh 320 pounds 😫. I used to have Tricare standard and now have bluecare Medicaid in Tennessee. I was wondering if any of you had Medicaid in Tennessee and was successful having them pay for the gastric sleeve. I have 3 small children who need their momma back!!!!! Thank you for your time :)

Brad Special
Snowflake

on 5/26/14 10:52 pm
VSG on 12/06/12

Call the number on the card and ask if it will cover the surgery.

Malmal0712
on 5/26/14 11:36 pm - Milan, TN

Tried that :(. They said my doctor had to call them to find out if the procedure is covered or not due to a code(?) 

Brad Special
Snowflake

on 5/26/14 11:41 pm
VSG on 12/06/12

That is stupid. They could tell if surgery is covered and what requirements are needed.

Malmal0712
on 5/26/14 11:45 pm - Milan, TN

I'm hitting up google now for the code for the procedure. I'm hoping I find the right one. I'm at my point of desperation

Brad Special
Snowflake

on 5/26/14 11:48 pm
VSG on 12/06/12

Call the surgeons office they will know the code. 

Malmal0712
on 5/27/14 12:26 am - Milan, TN

Ok I got the code and I called them back and talked to a different person. Now they say that it is covered if medically necessary.... Now I have to find out if my issues are medically necessary or not :/

Brad Special
Snowflake

on 5/27/14 12:28 am
VSG on 12/06/12
Malmal0712
on 5/27/14 12:40 am - Milan, TN

I did. I do have sleep apnea and I have high cholesterol. 

Brad Special
Snowflake

on 5/27/14 12:42 am
VSG on 12/06/12

If your bmi is 40or higher that is usually enough. 

Most Active
×