Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Getting Medicaid to cover surgery (MD)



Recommended Posts

Hello Every.

I am new to this forum so please bare with me. I recently called my insurance co. (care first blue cross blue shield) and they informed me that they dont cover weight loss surgery. :( I then called my local dept of health and mental hygiene, they informed me that medicaid will cover both the lap band and gastric bypass "if Medically necessary ." I dont have medicaid yet, but I am sure I'll qualify. I truly want to know how to go about it through medicaid? I will apply for medicaid, but once that's approved, where do I go from there. I honestly need this surgery, I am a female age 20 5'4 and 240pounds. Since 2008 i have had this respiratory problem, my general doctor never officially diagnosed it as asthma but I do take an over the counter inhaller daily, I am thinking it may have something to do with my weight. I have been on diets since I was 12 years old, only to gain more weight. My doctor has even given me a form of phentermane and that still did not work. I would have no other way to pay for this surgery, although I really need it. Can anyone please provide me with the steps I need to take to go the medicaid way? I have no credit so I cant just take out a loan and pay that way (im a full time college student, no job but I have the support of my parents) Thank you so much

Share this post


Link to post
Share on other sites

Hello Every.

I am new to this forum so please bare with me. I recently called my insurance co. (care first blue cross blue shield) and they informed me that they dont cover weight loss surgery. :( I then called my local dept of health and mental hygiene, they informed me that medicaid will cover both the lap band and gastric bypass "if Medically necessary ." I dont have medicaid yet, but I am sure I'll qualify. I truly want to know how to go about it through medicaid? I will apply for medicaid, but once that's approved, where do I go from there. I honestly need this surgery, I am a female age 20 5'4 and 240pounds. Since 2008 i have had this respiratory problem, my general doctor never officially diagnosed it as asthma but I do take an over the counter inhaller daily, I am thinking it may have something to do with my weight. I have been on diets since I was 12 years old, only to gain more weight. My doctor has even given me a form of phentermane and that still did not work. I would have no other way to pay for this surgery, although I really need it. Can anyone please provide me with the steps I need to take to go the medicaid way? I have no credit so I cant just take out a loan and pay that way (im a full time college student, no job but I have the support of my parents) Thank you so much

If you have your parents support, you probably don't qualify for medicaid, you have to be low income or have a disability. I would imagine it would be hard to get them to pay for something like that since it is government subsidized insurance. Not sure obviously. Also I'm guessing it'll be nearly impossible to find a quality surgeon that will accept medicaid.

Hmm, for me my insurance didn't cover it either, so I switched to one that did, you have to have a PPO and it's fairly expensive per month, but it's still still cheaper than paying out of pocket.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Sign in to follow this  

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • buildabetteranna

      I FINALLY HAVE MY DATE!!!!

      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×