gelen's_change 157 Posted July 31, 2012 Im not sure if i need a six months weight in to get approved. Help pls Share this post Link to post Share on other sites
NycFirstladiediva 1 Posted August 29, 2012 Im trying to find out myself. Did you ask your pcp . I called metroplus today. They said it depends on your pcp. What steps have you gone through to get this procedure ? Have you been approved ? Share this post Link to post Share on other sites
SLEEVEDNBEAUTIFUL 42 Posted August 30, 2012 What is metroplus Share this post Link to post Share on other sites
gelen's_change 157 Posted August 30, 2012 Yea i called they said if ur surgeon says no then no. They dont ask for 6 months. I have my 2nd visit n hope to get my date then. I had to ask my pcp for referal then make a first appt. They expained the 3 procedures and i picked the sleeve. Then they gave me a list of things i needed to do (tests) ekg abdominal sobogram ugi phyc and a support letter thats all i did it all already. Then theyll sumit to metroplus Share this post Link to post Share on other sites
gelen's_change 157 Posted August 30, 2012 What is metroplus Metroplus in an insurence comp in ny Share this post Link to post Share on other sites
NycFirstladiediva 1 Posted August 30, 2012 Oh Great ! I have metroplus too. What surgeon or hospital you're looking at ?. I have Medicaid/ metro plus. Do you have co morbidties ? What's your bmi ? I have tons of info for you way to much to write. Send me your number in my private inbox. I don't know how good it lol. So no waiting hunh ? Look up best and worst hospitals in ny for bariactic surgery ! A whole heap of info. I don't want to end up with bad scars or with a horror story so im definitely doing a lot of home work and researcher. @ Gelen_ change ...how was the mental evaluation ? What are they looking for ? So youre going to a second app with who ? They told me today you have to see a dietrician ,specialist etc... Idk ? Make sure you send your number so we can discuss. Maybe we can go around the same time. Share this post Link to post Share on other sites
NycFirstladiediva 1 Posted August 30, 2012 How long did it take you to get things done ? Your pcp gave you a referral to a bAriactic surgeon first then came what ? Sorry just trying to see if i have hope ? I guess ill wait for you send me more info or your number so we can really get to the nitty gritty of things. Share this post Link to post Share on other sites
gelen's_change 157 Posted August 30, 2012 How long did it take you to get things done ? Your pcp gave you a referral to a bAriactic surgeon first then came what ? Sorry just trying to see if i have hope ? I guess ill wait for you send me more info or your number so we can really get to the nitty gritty of things. Well im 23 yrs old 5'8 251lbs bmi 38 i have obstructive sleep apnea I go to st. Lukes theyve done thousands of surgeries. With dr teixeira hes the head of the bariatric dept. He teaches other bariatric surgeons in other contries how to perform minimally imbasive bariatric surgery surgery. When i spoke to him he said patients come to him from other docs to get complications fixed and hes had no leaks so far. U can watch him perform a gatric bypass on the internet google julio texeira bariatric surgery. Ive been doin this since feb but i had stop bc of personal reasons. But i estimate it to 6 months top to do everything . I saw the nutritionist the first day along with blood and ekg. Most test are done st the hospital. Yea pcp gave me a referal and then i made an apt but u pick ur doc.this was wat i did. The group meating are good if ur thinkin i think u should go to one. If its cuz of metroplus they cover it n if u have wat they need theyll approve. U kno some docs dont show their faces on internet or u cant find them those r the once i dont want. Share this post Link to post Share on other sites
TammieO 2 Posted February 4, 2014 Ok girls.. I've read your messages.. I wonder what conditions for metro plus in order to get the bariatric surgery ????!!! 1 Maryvsg87 reacted to this Share this post Link to post Share on other sites
Mari Elizabeth 0 Posted July 3, 2014 Hi everyone I went to Bellevue seminar and got my appt for august 28 u have metro plus and Medicaid just wondering dose anyone noe how long untill they give u a surgery date ?i have a refer all aredy but i had bread that it may take up to 6 months Share this post Link to post Share on other sites
120Cassy 5 Posted February 26, 2017 I'm in my 6 month process (2nd month thus far) and I had to get approval from my pcp first. He referred me to a hospital, but when I called to make an appointment for the seminar they told me they didn't accept my metroplus insurance, so I decided (with careful research) to go with Mt Sinai hospital. They have rave reviews. After the seminar with them, I made an appointment to meet my Surgeon, Dr. Eric Edwards (he's nice and very competent) and I was set up with a checklist. Everything goes through your pcp. Some things you can do with Mt. Sinai hospital, but you have to check to see if it's covered by your insurance. Your PCP should be able to coordinate, but you can help them by giving them the checklist (depends on how your hospital works). So far it's going well. Stay dilligent, because if you don't see your pcp every month for the 6 months, it may mess up your process. I never called Metroplus to see if they actually require 6 months so I'm not sure if it is needed, however I'm just following my doctors guidance and the guidance of my nurse practicioner Amy Chen from Mt. Sinai Hospital's bariatric team. I wish you all many blessings in your weight loss endeavors! Share this post Link to post Share on other sites
Maryvsg87 164 Posted August 24, 2017 I'm in my 6 month process (2nd month thus far) and I had to get approval from my pcp first. He referred me to a hospital, but when I called to make an appointment for the seminar they told me they didn't accept my metroplus insurance, so I decided (with careful research) to go with Mt Sinai hospital. They have rave reviews. After the seminar with them, I made an appointment to meet my Surgeon, Dr. Eric Edwards (he's nice and very competent) and I was set up with a checklist. Everything goes through your pcp. Some things you can do with Mt. Sinai hospital, but you have to check to see if it's covered by your insurance. Your PCP should be able to coordinate, but you can help them by giving them the checklist (depends on how your hospital works). So far it's going well. Stay dilligent, because if you don't see your pcp every month for the 6 months, it may mess up your process. I never called Metroplus to see if they actually require 6 months so I'm not sure if it is needed, however I'm just following my doctors guidance and the guidance of my nurse practicioner Amy Chen from Mt. Sinai Hospital's bariatric team. I wish you all many blessings in your weight loss endeavors!I just finish seeing Dr. Kini from Mt. Sinai and I was told I don't have to do 6 months if I had metroplus so I switch but it won't become active till October so hopefully I won't have to wait to long after that meanwhile doing all my pre req before October Share this post Link to post Share on other sites
Confidently_Me 19 Posted March 27, 2019 (edited) Hello ladies what are your updates? I’ve stumbled upon this post and am looking into this with metropolis as well Edited March 27, 2019 by Confidently_Me Share this post Link to post Share on other sites
