OHP (a type of Medicaid)

[Medowsweet 52]

Does anyone know of a facility (preferably near Eugene) that takes OHG (Oregon health plan, which is a form of Medicaid)

[Brenda Sherwood 64]

Call your insurance company. They will tell you who you can use.

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[jackswife 0]

Hi! I live in Bend and I have OHP. We have 2 clinics here. One in Redmond--Dr. Hughes. The one in Bend is Dr. Archer. They both operate at St Charles which is a center of excellence.

There is also a Dr in Coos Bay-- Bay bariatrics. His name is Dr. Tersigni. I just submitted yesterday to ohp and received my approval today!!! My surgery is scheduled for 6/14. I could have gone next Tuesday if I wanted! But I just couldn't swing it on my end. I started this process on 12/29

[ImJustAdaisy 0]

Hi! I live in Bend and I have OHP. We have 2 clinics here. One in Redmond--Dr. Hughes. The one in Bend is Dr. Archer. They both operate at St Charles which is a center of excellence.

There is also a Dr in Coos Bay-- Bay bariatrics. His name is Dr. Tersigni. I just submitted yesterday to ohp and received my approval today!!! My surgery is scheduled for 6/14. I could have gone next Tuesday if I wanted! But I just couldn't swing it on my end. I started this process on 12/29

Do you have diabetes?

[jackswife 0]

Nope, I don't. In November ohp lifted that requirement. However, now you must have it to get surgery I believe.

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[ImJustAdaisy 0]

Who is doing your surgery? RNY or Sleeve?

[jackswife 0]

RNY because I have a pretty severe hiatal hernia and chronic gastritis. Dr Archer at BMC is doing it.

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[ImJustAdaisy 0]

How long did PacificSource take to answer the referral for the actual surgery?

[jackswife 0]

I was accepted into the program at Dr Archer's in November. We submitted to insurance on Wednesday. I was approved for surgery less that 24 hours later. So happy!!

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[ImJustAdaisy 0]

I am almost done with all work up and have an appt on the 2nd to submit referral, through Hughes. I'm so anxiuos! No diabetes but all had been approved so far and Hughes has been given sub-authority over all authorizations.

BMI 59

[jackswife 0]

Nice!! I have several friends that see her, and love her. I live in Bend, and my schedule is unpredictable. So I stayed with Archer. But I really like him.

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[Kori Davis 0]

Nope, I don't. In November ohp lifted that requirement. However, now you must have it to get surgery I believe.

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Question, I'm in bend with PacificSource/Medicaid/OHP trying to get more information for Bariatric Surgery. I have a BMI of 49.9 but Co-Morbities are Hypertension and I test for sleep Apnea in February. They said you have to have Diabetes to get the surgery. Is there a place that disputes this or will explain this more? The website doesn't discuss it.

[jackswife 0]

I think you have to have diabetes now in order to have ohp cover it. I got incredibly lucky last year when I was approved because I didn't have any co-morbitities other than a bmi of 43.

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[OctoberSky 9]

This is what I've been wondering. Any places close to Ashland, that cover it, with Medicaid OHP?