Awaiting final medicare approval

[SuperFab 689]

Well, I've jumped through every hoop and here I am, waiting on that final approval. Once it is approved I have my appointment to see my surgeon again and pick my date. Kinda freaked out, but super excited.

[follmerpa 35]

Did you have to wait six months? I have a Medicare thread started too, I have Medicare because of disability, I also have sleep apnea and a BMI over 50. Im worried about out of pocket and what hoops you had to jump through.

Thanks paul

[SuperFab 689]

No, I just had to attend a seminar, see a physical therapist once, a psych once, go to a support group meeting and have 3 nut appointments. I also had a sleep study and stress test done. Those were per my regular physician, but my surgeon asked for a copy of the results. Medicare has a $1184 deductible. But I also have Medicaid, which I was told would cover that as a secondary insurance. With Medicare it's not a 6 month wait.

[SuperFab 689]

Also I have a 45 BMI, HBP, severe spinal stenosis and just got a CPAP yesterday. Apparently I have severe sleep apnea. On their scale a 15 is mild apnea, a 30 is moderate apnea and anything over a 35 is considered severe. I was 85!!!

So I definitely have comorbidities.

[BabySheldon 158]

Well, I've jumped through every hoop and here I am, waiting on that final approval. Once it is approved I have my appointment to see my surgeon again and pick my date. Kinda freaked out, but super excited.

Good for you sweeetie... You have worked very hard and you deserve it!

Sheldon

[SuperFab 689]

Good for you sweeetie... You have worked very hard and you deserve it! Sheldon

Thank you!! I'm sorta at that "am I making the right decision" phase that so many people go through... But I know I am. I'm ready to feel better physically and hope this weightloss will ease my back pain.

[follmerpa 35]

Sounds like your well on your way to a NEW you. Thanks for answering my questions your a big help. I will be on the phone with Medicare tomorrow and get the ball rolling. Is Medicaid a good supplement to Medicare? Im new to Medicare and have a thousand questions for them.

Thank you

[SuperFab 689]

Sounds like your well on your way to a NEW you. Thanks for answering my questions your a big help. I will be on the phone with Medicare tomorrow and get the ball rolling. Is Medicaid a good supplement to Medicare? Im new to Medicare and have a thousand questions for them. Thank you

Yes, Medicaid picks up the costs Medicare doesn't cover and also pays your monthly price for Medicare. So I don't have that coming out of my disability check Bc Medicaid pays for it.

I'll help in any way I can. You can pm me if u need, April

[eyoung 47]

Yes, Medicaid picks up the costs Medicare doesn't cover and also pays your monthly price for Medicare. So I don't have that coming out of my disability check Bc Medicaid pays for it.

I'll help in any way I can. You can pm me if u need, April

We r in the same boat April! Same insurance down to the same hoops.. I do not have sleep apnea tho. I just the nut today and waiting on the final approvals. Dont ya just love this waiting game. . It sucks! Lol

[SuperFab 689]

We r in the same boat April! Same insurance down to the same hoops.. I do not have sleep apnea tho. I just the nut today and waiting on the final approvals. Dont ya just love this waiting game. . It sucks! Lol

Lol. It's killing me!!!! I'm on pins and needles now. It'll be a waiting game. Me waiting for that call telling me everything is good to go and then I'll finally be able to relax.

[Sfu454 5]

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Edited December 24, 2013 by Sfu454

[SuperFab 689]

That was an asshole thing to say

[SuperFab 689]

Maybe you should think before you make a smart ass remark like that. These types of surgeries aren't for vanity reasons. They are medically necessary. I was in an accident on ice and subsequently acquired severe spinal stenosis when my hip was injured. Couldn't walk for over a year unassisted. At that time I wasn't overweight and was very physically active. Having to be sedentary caused me to gain over 140 pounds. In 2 years. Then I developed HBP and severe sleep apnea Bc of that weight gain. This surgery could actually help me to lose enough weight that it may take the pressure off my spine and allow me the opportunity to get off disability. You can kiss my fat ass

[longtimecoming7 390]

Super,

You owe NO ONE an explanation! EVER! You do you, and never mind the ignorant people!

Merry Christmas!!

[SuperFab 689]

Super, You owe NO ONE an explanation! EVER! You do you, and never mind the ignorant people! Merry Christmas!!

Thank you, the ignorance of some people is astounding. I truly hope that poster is never in any type of accident that puts him or her in a wheel chair, using a walker or in need of disability the they actually EARNED BY WORKING AND PAYING THEIR TAXES like happened to me. It actually hurts to be judged when nobody knows your story.

Merry Christmas to you as well.

April