Insurance approval

thepheonix
on 7/29/11 4:30 am - CT
OK, I got all my evals done.  Now I'm waiting for insurance approval from medicaid.
Asking for a group prayer to help me get this done !!!
            
B. Bap
on 7/29/11 5:20 am
Prayers sent!
thepheonix
on 7/29/11 5:32 am - CT
Thank you !!!
            
Heleena33
on 7/29/11 5:43 am - Custer, WA
Crossing my fingers for you!  It will be great!
I was looking into this for my sister who is on medicare and medicade.
What kind of hoops did they jump you through?
How long did it take to get to this point?
Wishing you the best!

Helen

JULY 11, 2011 MY New Live Began    HW 295   SURG WT 266   GOAL 145
My ticker represents lbs lost from time of surgery .....after liquid IV's were gone!      
                       

                
thepheonix
on 7/29/11 6:12 am - CT
In order for me to qualify I had to prove that my weight was causing medical issues. Like high blood pressure, diabetes, high cholesterol.  Then I had to have evals done by a psychiatrist, cardiologist,  a dietitian and have a  pulmonary function test.

I had my first appt with the bariatric Dr on June 10th.  Oh, and I had to attend a bariatric seminar.  That was on June 13th.  And the Dr office tells me  that if I am approved I should have the surgery sometime in September. 

Go on line and look up medicaid summary of service for your state and it will tell you what types of medical services they cover.  If you just call the 800 # on your card you might get wrong information.  I did, they told me it wasn't covered but it is.

I hope I helped !!  
            
Heleena33
on 7/29/11 6:19 am - Custer, WA
Thank you!!!
Yes, I will pass it on to my Sis!!

JULY 11, 2011 MY New Live Began    HW 295   SURG WT 266   GOAL 145
My ticker represents lbs lost from time of surgery .....after liquid IV's were gone!      
                       

                
thepheonix
on 7/29/11 6:22 am - CT
You are very welcome.
            
raye1976
on 7/29/11 8:15 am
I will be praying for your approval.  I am in the same boat that you are in.  I don't have medicaid but my husbands insurance originally told him that they don't cover the surgery when he first called.  I spoke with my surgeon's ofc. and they said that we would go ahead and submit everything to the insurance company and see what they say.  They seemed to think that once they saw my medical records with my weight and my comorbidities that they would approve the surgery.  If not, then I guess we will be paying out of pocket.  I really hate to do that because we will have to make a loan against my husbands 401k through his work.

So keep me in your prayers as well.
raye1976            
thepheonix
on 7/30/11 12:07 am - CT
You know, I really hate insurance companies !!!  They take your money but don't want to provide anything in return.  I'm on medicaid because I was denied by every insurance company that I applied for because of my weight then 246, and because I am on high blood pressure and cholesterol medication.  I wish that they would realize that by approving weight loss surgeries people get healthier and most don't need to be on their medications anymore. 

Well, enough complaining from me.  LOL  I wish you well.  You are in my prayers.
            
Skinnyagain77
on 7/29/11 9:09 am - SC
Phoenix and Ray you both are in my prayers. God will work it out.  Don't worry
Most Active
Recent Topics
15 years and I?m back
Maureen K. · 1 replies · 1925 views
runny nose
psren13 · 4 replies · 2141 views
×