Anthem Blue Medi-Cal California

[littlebearsmom25 37]

Hi,

This is my first time posting, but I have stalking this site for quite some time. LOl. I have a BMI of almost 36, and I have a few comorbidities. High blood pressure, high cholesterol, and am pre-diabetic. I am also going to be going in for a sleep study within a week. I do not take any medications for any of my current diagnosis' as they are all recently diagnosed. I am wondering what everyone's experience has been with Medicaid in California. I called my insurance and they told me that they will cover it, but I have to wait. I am Yo-Yo dieter and my fear is that I will lose some of the weight in the process and might drop before a 35BMI. I know the weight will just come back, but I am worried that will disqualify me. Also I might be able to get a loan from family to go the cash pay route, but then I would essentially be signing my life over to them. I am just worried about essentially waiting 7 months to have surgery to find out they wont do it. Thoughts? I could use some encouragement. I know this this surgery is going to allow me to spend more time doing the things I love to do, and it is worth it. Waiting just seems like the worst thing ever. I just want to get the process started.

[KateBruin 344]

35-40 BMI medi-cal will cover with 6 months supervised weight loss. You might have a hard time finding a surgeon who will do it if that's your primary. Medi-cal is my secondary so they just pickup what is leftover.

[snoozy65 0]

Medi-cal wants a percentage of your body weight lost as opposed tot he 6 month supervised diet. Blue Cross requires a 6 month supervised diet with no minimum weight loss required (at least medi-cal in ventura county worked that way). Regardless, any program wants to see some type of effort on the clients part. Medi-cal WILL cover the surgery if it is medically necessary, but you have to follow the procedures / protocol for the authorization.

[wittysteph75 8]

Medi-cal wants a percentage of your body weight lost as opposed tot he 6 month supervised diet. Blue Cross requires a 6 month supervised diet with no minimum weight loss required (at least medi-cal in ventura county worked that way). Regardless, any program wanw1dd12q1ts to see some type of effort on the clients part. Medi-cal WILL cover the surgery if it is medically necessary, butqwwww you have to follow th222e procedures / protocol for the authorization.

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[wittysteph75 8]

Hi,
This is my first time posting, but I have stalking this site for quite some time. LOl. I have a BMI of almost 36, and I have a few comorbidities. High blood pressure, high cholesterol, and am pre-diabetic. I am also going to be going in for a sleep study within a week. I do not take any medications for any of my current diagnosis' as they are all recently diagnosed. I am wondering what everyone's experience has been with Medicaid in California. I called my insurance and they told me that they will cover it, but I have to wait. I am Yo-Yo dieter and my fear is that I will lose some of the weight in the process and might drop before a 35BMI. I know the weight will just come back, but I am worried that will disqualify me. Also I might be able to get a loan from family to go the cash pay route, but then I would essentially be signing my life over to them. I am just worried about essentially waiting 7 months to have surgery to find out they wont do it. Thoughts? I could use some encouragement. I know this this surgery is going to allow me to spend more time doing the things I love to do, and it is worth it. Waiting just seems like the worst thing ever. I just want to get the process started.

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Sent from my SM-J700T1 using BariatricPal mobile app

[wittysteph75 8]

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Sent from my SM-J700T1 using BariatricPal mobile app

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