Emblem health NY

[harley_quinn25 80]

Hi,

I'm new here and I have read a few boards and I see everyone is beyond helpful in some way. I'm 25 years old and live in Westchester, NY. I went for my seminar December 10, 2014

And have my first appointment with the surgeon January 23☺️was wondering for those in NY with emblem health how long after your first appointment did you get a date? What are the pre surgical requirements that need to be completed beforehand? Thanks so much!!

[merry1126 42]

I live Westchester also. Do you have private or managed medicaid? If its managed medicaid, the requirements are six months of visits, psych consult plus clearances( GI,Cardiologist,sleep study) and a letter from the PCP. I started this process with HIP/Emblem but had to switch insurance but the requirements were the same. I haven't been given a surgey date yet.

[number1rudegal 6]

I had Hip it's a 6 month requirements but I switched to metroplus it was amazing

[harley_quinn25 80]

I live Westchester also. Do you have private or managed medicaid? If its managed medicaid, the requirements are six months of visits, psych consult plus clearances( GI,Cardiologist,sleep study) and a letter from the PCP. I started this process with HIP/Emblem but had to switch insurance but the requirements were the same. I haven't been given a surgey date yet.

I have Medicaid like through the government Lolz oh no I hope I won't have to do 6 months! When did you start? Also what happens at the first visit? I'm using Camacho in montifiore

[harley_quinn25 80]

I had Hip it's a 6 month requirements but I switched to metroplus it was amazing

Did they give you a date yet?

[number1rudegal 6]

My first date was dec 17 I changed it

[harley_quinn25 80]

I heard its 6 months through the Pcp and 3 months through the surgeon. I'm definitely opting for the surgeon

[merry1126 42]

Sorry for the late response. I started in September so next month will be six but I'm still getting my paper work in order.

If/when I get an approval then the office will schedule a date

[harley_quinn25 80]

Good luck! Hope you hear back soon from them

[merry1126 42]

I think you maybe right about the three month wait if with a surgeon according to this

http://www.emblemhealth.com/~/media/Files/PDF/_med_guidelines/MG_Bariatric_SX_c.pdf

But its best to see what the surgeon tells you. Either way you will be surprised how quickly the time will pass. Best of luck.

[harley_quinn25 80]

@@merry1126 thank you! I couldn't find this anywhere very helpful. I don't believe I have any comorbidities but I do have asthma and my bmi is over 40

[merry1126 42]

You"re welcome, @@harley_quinn25 Usually having a BMI > 40 is all you need, if its <35 then comorbidities are needed.

Edited January 20, 2015 by merry1126

[harley_quinn25 80]

Happy to say I'm relieved by my obesity Lolz

[shesshrinking 3]

I called MetroPlus and they told me they don't cover Bariatric surgery ='[