Jump to content
×
Are you looking for the BariatricPal Store? Go now!

(Apple Health ) Other acceptable Co-Morbidities aside from the top 4.



Recommended Posts

I'm curious to know if there's any one out there with Medicaid though Washington State who has gotten approved with disabilities aside from the top 4. I've seen an extended list for regular insurance owners,but curious if medicaid adopts some of them on a case-by-case basis. (E.g GERD, Depression, etc.) Thanks in advance!

Share this post


Link to post
Share on other sites

Update:

I'm using Molina BTW

I've heard conflicting info from everyone about what Molina WILL cover. I called Rockwood in Spokane and the representative said that with Molina, all you need is an BMI of 40.. that's enough. She explained that they do not take plain ole' medicaid..only Molina medicaid.

So, unconvinced, I called Apple Health Molina and was actually told by a representative there (including the Lead Rep) That there is 3 different ways to get approved.

A. BMI of 40 or over 100kg

Or

B. BMI of 35 or higher with one or more comorbidities.

Arthritis

sleep Apnea

High Blood Pressure

High Cholesterol

Type 2 Diabetes

Venous Stasis Disease (Collection of Blood in the Lower Limbs)

Congestive Heart Failure

Fatty Liver Syndrome

Gall Bladder Disease

Depression

Stroke or Stroke Risk

GERD (Acid Reflux Disease)

Or

C. BMI 30-35 with DM II or metabolic syndrome.

I asked the representative if I could have the bariatric program requirements in a file or letter.. she says that it couldn't be given to me as its used for them to review each case..and that I could obtain it through my PCP. That was the first time I heard of three ways to get approved for stage 1.

Thought I'd share!

Sent from my SM-G900T using the BariatricPal App

Share this post


Link to post
Share on other sites

I also have l Apple Health Molina and I'm starting my stage 2 I'll be going through UW. Thanks for the info

Sent from my LG-H811 using the BariatricPal App

Very awesome! I was approved in August and I'm barely finishing month one.. I've got all my appt. close together so I can hopefully finish everything by mid november! Otherwise I'd be finished about February.. congrats on your stage 2 approval! !

I Love being an RRT!

Saving Lives One Breath At A Time.

Share this post


Link to post
Share on other sites

I also have l Apple Health Molina and I'm starting my stage 2 I'll be going through UW. Thanks for the info

Sent from my LG-H811 using the BariatricPal App

Very awesome! I was approved in August and I'm barely finishing month one.. I've got all my appt. close together so I can hopefully finish everything by mid november! Otherwise I'd be finished about February.. congrats on your stage 2 approval! !

I Love being an RRT!

Saving Lives One Breath At A Time.

Thank you. It seems like we pretty much have the same timeline which is pretty neat. I hope things go really smoothly for you.

Sent from my LG-H811 using the BariatricPal App

Share this post


Link to post
Share on other sites

I also have l Apple Health Molina and I'm starting my stage 2 I'll be going through UW. Thanks for the info

Sent from my LG-H811 using the BariatricPal App

Very awesome! I was approved in August and I'm barely finishing month one.. I've got all my appt. close together so I can hopefully finish everything by mid november! Otherwise I'd be finished about February.. congrats on your stage 2 approval! !

I Love being an RRT!

Saving Lives One Breath At A Time.

Thank you. It seems like we pretty much have the same timeline which is pretty neat. I hope things go really smoothly for you.

Sent from my LG-H811 using the BariatricPal App

I appreciate that! Same for you! Patience is everything at this point...

I Love being an RRT!

Saving Lives One Breath At A Time.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×