To anyone who has Medicaid, I have a dilemma.

[WLS4ME33 60]

I’m looking for anyone that’s trying to get surgery through Medicaid, specifically WellCare. I have WellCare of GA and it’s time for my renewal. At this point I think I run the risk of losing my insurance before I even finish all of my pre-op requirements because of my income level, but my job doesn’t offer benefits until you’ve been employed with them for a year. Just trying to get some info and feedback from people with this type of insurance. Thanks!

[Sosewsue61 3,185]

No specific help here, but does your state have Obamacare? You might need to go on the website and plug in your income to see your options.

I am not even sure what your exact questions are. If you become ineligible for Medicaid, that option would be out the window entirely or is there a 'spend down' option where you get coverage but there is cost-sharing involved?

Your employer plan sounds horrid, I have never heard of a company making someone wait an entire year to use insurance, if that is the case they must have a huge employee turnover - or do you mean paid medical 'leave' or use FMLA? - which companies do sometimes require one year for that option.

GA is one of six states that requires group insurance to cover wls, BUT not all 'self funded companies' are required to and may have different requirements to get approval.

Good luck.

Edited February 20, 2018 by Sosewsue61