Getting qualified for sleeve surgery

[Happyj 2]

Hi all! I’m new to this forum and I’m so happy I’ve found it. I have had 2 appointments so far with my PCP for weight loss and next Friday 12/08 I meet for the first time with a nutritionist. I have 4 more scheduled weight loss appointments with my PCP and I wanted to know what else I need to do or what else I need to maintain. I have Medicaid as my insurance and I’ve been told it’s very hard to jump through all their hoops for the gastric sleeve surgery. So basically I’m just asking ahead to cover myself and do all that they will ask of me because my PCP doesn’t seem very knowledgeable to me although he’s done these types of appointments before he hasn’t had much experience with Medicaid dealing with this. Any advice would be helpful. After I’ve met the criteria for Medicaid how long does it take for them to approve or deny and if approved how long does it take usually to actually have the surgery?

Edited December 1, 2017 by Happyj

[Shesl0singit 17]

Depending on who’s your insurance provider, you could wait up to two weeks for an approval. Who’s your provider?

[Happyj 2]

Hi thanks for responding. My insurance Provider is Colorado Medicaid. Do you know the best way for me to go about getting my qualifications done. I’m just trying to make sure they don’t have a reason to deny me. So I’d like to know what my doctor should be having me do during my appointments and what the insurance companies like to see.

[xoxococojay 842]

Hi all! I’m new to this forum and I’m so happy I’ve found it. I have had 2 appointments so far with my PCP for weight loss and next Friday 12/08 I meet for the first time with a nutritionist. I have 4 more scheduled weight loss appointments with my PCP and I wanted to know what else I need to do or what else I need to maintain. I have Medicaid as my insurance and I’ve been told it’s very hard to jump through all their hoops for the gastric sleeve surgery. So basically I’m just asking ahead to cover myself and do all that they will ask of me because my PCP doesn’t seem very knowledgeable to me although he’s done these types of appointments before he hasn’t had much experience with Medicaid dealing with this. Any advice would be helpful. After I’ve met the criteria for Medicaid how long does it take for them to approve or deny and if approved how long does it take usually to actually have the surgery?

The time frame depends on so many things so don't worry about that to much, everything from when your surgeon has appointments to how long it takes your insurance to review your file can all make a difference. As long as you follow the nutrition class guidelines, you'll be fine and you'll be amazed at how much you lose. In order to maintain the weight loss after the fact it is definitely 70% diet, and 30% exercise so find things that you enjoy and stick with it. You got this!!! Best of luck to you.

[Determinedinkenrucky 20]

I am in Kentucky, and due to a job ending disability I am on Medicare and KY Medicaid/Passport. I had to do a 4 month diet. (I lost 9 lbs.) and once my surgeon faxed all paperwork in I got approved the next day. Granted its not Colorado but I hope its quick...

Just keep on doing what doc advises and you should be fine...

[angyplus5 470]

welcome!!!

Sent from my SM-G930VL using BariatricPal mobile app