Medi-cal

[long2912 8]

Ok in trying to find a way to help my sister get sleeved. She is a widow who has survived raising 3 beautiful girls and has always put them before her. Now that their older some with families of their own she has the Medi Cal Blue Cross through Obama Care. I read where they do cover the surgery but it needs to be medically necessary.....yadayada Has anyone else ever used Medi Cal coverage for this procedure in the fresno kings county area?

[Sharon1964 2,530]

Here is info from someone in San Joaquin County (which, as you know, is one county west of Fresno County): http://www.bariatricpal.com/topic/221572-anthem-blue-cross-medi-cal/

I would do one or both of the following;

1. Call the member services number on her insurance card and ask what the coverage is, and the requirements are, for bariatric surgery.

2. Call ALSA (Advanced Laparoscopic Surgery Associates), the office of Dr. Kelvin Higa. Dr. Higa has a reputation as the best in Fresno and is the only surgeon my own primary care doctor would let me see. Ask them if they are still on the Blue Cross Medi-Cal plan (he is currently listed as being on the plan).

And then lastly, she should make an appointment with her assigned primary care doctor and ask for a referral for a bariatric consultation.