Straight Medicaid what's the process

[nixa0711 1]

I have straight Medicaid and I want to start the process of getting bypass. Does anyone one know how long the process it ?

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[Inner Surfer Girl 12,015]

I think it really depends on what state you are in.

I would suggest looking for a Bariatric Center of Excellence near you and attending a seminar. The practice will have an insurance coordinator who can help you determine whether requirements.

Best of luck.

[nixa0711 1]

I am in New York State... I've actually attended a seminar before and got all of the information but I didn't go through with it.

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[rockenrobin 0]

I am in Las Vegas Nevada, it takes 3-6month, It's been 3 half months I am now waiting for my surgery date. You can Google your medicaid provider in your state and read the guide lines. Good luck.

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[jj7481 363]

It is dependent on your state and the type of insurance (exchange or not) that you are supplied with. Typical requirements are as follows:

• Over the age of 13 for a female and 15 for a male.
• Body Mass Index must be over 35 with at least one comorbidity.
  • Co-morbidities include sleep apnea, high blood pressure, high cholesterol, diabetes.
• If you are under 21, you must have a Body Mass Index (BMI) over 40 with at least one comorbidity.
• A letter from your primary care physician stating that weight loss surgery is medically necessary.
• Passes a psychological exam.
• Documentation showing that the patient tried to manage their comorbidities with standard treatment but they were not successful.
• The patient must complete and show documentation that he or she participated in a medically supervised weight loss program for 6 months and it happened within the last 12 months prior to surgery.
• The patient must understand they will be required to change their diet and lifestyle after surgery.
• Nutritional and psychological services must be available before and after surgery (usually from the physician’s office).

This can take anywhere from 4-6 mos to complete. Best advice is get ahold of your states Medicaid office and ask which surgical centers are approved. From there you can call to schedule your informational session and get the ball rolling.

[MollyF22 62]

I had the sleeve....but I'm from ohio. It took me a 9 month process. Basically 11 months after everything was done. I had 2 clearances. Cardio and pulmonary. I had to be over 52 bmi also I believe. I'm sure every state is different though. Good luck with everything