Fidelis managed Medicaid in NY state

[TheRealMeIsHere! 863]

Anyone have the sleeve covered with Fidelis managed Medicaid. Doc thinks it may be a problem, but will push for it due to severe ulcerative colitis. I did not get surgery two years ago, because sleeve was not offered in my area, and I will not have band or bypass.

[christina8868 0]

Yes, they cover the sleeve. I called Fidelis and asked.

Anyone have the sleeve covered with Fidelis managed Medicaid. Doc thinks it may be a problem, but will push for it due to severe ulcerative colitis. I did not get surgery two years ago, because sleeve was not offered in my area, and I will not have band or bypass.

[TheRealMeIsHere! 863]

Thank you for checking. Did you call the member services number? I feel silly that I didn't try that.

Debs

Yes, they cover the sleeve. I called Fidelis and asked.

[taide 2]

Do they require a 6 month before surgery nutrition evaluation?

[TheRealMeIsHere! 863]

I think I only had to do 3-4 months supervised weight loss. The nutritionist was a bit of a drive, so I did one of my supervised WL visits with her and the rest with my PCP.

[taide 2]

They dead told me my bmi is too low.

[TheRealMeIsHere! 863]

I'm sorry to hear that. Can the doctor resubmit for approval, emphasizing comorbidities? Sometimes insurance automatically denies, the first time, sort of like a reflex. They save money, that way, because only the truly serious will appeal.

Good luck

[taide 2]

No he actually didn't send the papers out. This was the second time I met him. I actually need to see the nutritionist I hope I get an appointment soon I think I already gained 3 pounds so I have about 7 more to go.