BCBS Iowa and Medicaid

RiveraANA · September 16, 2017

So, I'm just starting this, like I'm talking to my doctor about this in two weeks. She's mentioned it in passing before, but I've never really wanted to until this last year.

Anyway, I have a BMI of 40.2, co morbidities of pre-diabetes, depression/anxiety, GERD, and chronic gastritis. I have Wellmark BCBS of Iowa for my primary insurance and Medicaid (Amerigroup) as secondary. I am extremely nervous whether I will be approved or not.

My 100% co-morbidities are pre diabetic and depression/anxiety. I was told I had acid reflux by my old doctor, but never officially diagnosed. My chronic gastritis was first diagnosed as gastritis while I was pregnant with my first, any other time it flared up it only sent me to the emergency room. I haven't seen a doctor for that since pregnancy (other than ER visits)

I believe I meet the requirements for Medicaid, but not sure about Wellmark BCBS because it's listed as "investigational".

I'm also not sure if Medicaid (being secondary) would cover it all. For the entire time I've had both, BCBS covered what they would, Medicaid paid the rest.

My worry is if I drop below 40 during the supervised diet, BCBS won't approve it and Medicaid probably won't pay for all of it.

Has anyone had both (or either) and been on the border like I am? Did you have to jump through hoops?