Fl Medicaid coverage?

[CocoJenL 1]

I am looking to have the sleeve, and was told by my insurance ho (south florida community care network) that wls IS covered. Anyone else had the sleeve in south fl, with medicaid coverage? If so, what were the requirements, aand hiw long did it take for u to be approved. Any info is greatly appreciated!

[kll724 3,055]

I am not familiar, but do live in Florida. There is a link from Alex under Insurance and financing forum, "Does Obamacare pay for WLS" maybe there is information there. Best wishes, Karen..aka.kll724

[CocoJenL 1]

Thank you! I will definitely check that out

[CocoJenL 1]

So. I don't think that post actually pertains to my situation as I dont have obamacare, I just have tge standard state of Florida medicaid with an h mo I've had for about 2 yrs. After speaking with a rep from the hmo, she assured me that the surgery is covered but wouldn't provide much other info about the specifics

[2cute2bbig 38]

So. I don't think that post actually pertains to my situation as I dont have obamacare, I just have tge standard state of Florida medicaid with an h mo I've had for about 2 yrs. After speaking with a rep from the ***, she assured me that the surgery is covered but wouldn't provide much other info about the specifics

Hi i have medicaid in florida to and i have Staywell and it is covered. Just go to the website of the hmo that u have and it will tell u the requirements. Im sure u will have to do the 6 months supervised weightloss with your primary care doctor, a psychiatric eval and whatever other clearances that may be required by surgeon and go to a dietician and complete classes. Your bmi has to be at least 40 or above with no co-morbid conditions and 35 with at least one or two co-morbidities.

Edited January 4, 2014 by 2cute2bbig

[CocoJenL 1]

I've spoken with a rep from my hmo and she confirmed that it is covered. Got my referral from my pcp yesterday. The rep also stated that I may have to do 3 month or 6 month classes. I have scheduled an appt for the 9th to attend the information seminar with the center of excellence that i choose but now what do I do? This rep hasn't provided me with much info.

[CocoJenL 1]

My BMI is 41.7 and I also have uncontrolled HBP which I take a tier 3 med for

[2cute2bbig 38]

My BMI is 41.7 and I also have uncontrolled HBP which I take a tier 3 med for

Well your bmi is over 40 and thats enough by itself with any comorbidities and you have Hbp so u shouldnt have any problems

[Nani_Mae 4]

@@CocoJenL how is this going for you as of today i live in florida

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[CocoJenL 1]

Hello there. I actually had sleeve surgery 4/29/15. So I'm just past 1 yr. Currently I am down 68 lbs. I must admit it was well worth the journey. I still have about 50 more lbs I want to lose. But I'm absolutely loving my sleeve!!!! And the best part... it was covered by my insurance 100%

[Nani_Mae 4]

@cocjenl was it hard for the approval can you tell me more on you insurance experiance

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@@CocoJenL ^^

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@@CocoJenL ^^

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@@CocoJenL ^^

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@@CocoJenL ^^

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@@CocoJenL ^^

Sent from my iPhone using the BariatricPal App

@@CocoJenL ^^

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