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

Medicaid Appeal??



Recommended Posts

I currently have Medicaid and in the process of my six month supervised weight program for bar iatric surgery. They said that in the fifth month we will get a surgery date. And as long as all the insurance information goes through, that will be the for sure "date". But my question is.... does Medicaid deny people a lot the first time around? I’m afraid of the whole deny and appeal process, making the time for my surgery even further away. Don’t get me wrong, ill wait. I just want to be prepared.

Share this post


Link to post
Share on other sites

wow what state are u guys in ?? I didnt know medicaide covered this do tell!!!

Share this post


Link to post
Share on other sites

I could not find a doctor or hospital that would take Medicaid for my Lap Band surgery in Louisiana so I am self pay. I wonder if I can get the forms and file with them to reimburse me ? The doctors office won't even file it with them because medicaid pays so little and it is such a hassle to deal with them. Where did you find a clinic to treat you?

Share this post


Link to post
Share on other sites

I am currently located in PA. I went to a seminar on lap band and talked to the bariatric center and asked who they work with. PA offered three different types of health care plans. And, the Lehigh Valley Hospital in Allentown, said that they dont work with Gateway or Unison, but they do work with AmeriHealth Mercy. They do all the work. As long as you have a BMI of 35 or higher and a health related problem retated to obesity, you will get approved. However, i dont have a health related problem due to obesity but have a BMI over 41, which makes me eligible for the surgery without a related illness. You just have to go through a six month weight loss program supervised with the bariatric center and they will submit all the information for you. It just seemed too good to be true so i was wondering if they often appeal, making the process longer.

Share this post


Link to post
Share on other sites

I live in Illinois and have no comorbidities and barely reach a BMI of 40. I am under 40 now that I am on my one week pre-op diet. Medicaid only took a week to approve me once they had my paperwork. Very easy to get approved. It means a healthier you and less bills later on if you are thinner.

Share this post


Link to post
Share on other sites

Well let me first start off by saying Congrats!!! I am so happy for you. And thank you for your response, it makes me feel a little more at ease knowing that other people had an easy expierence getting approved. I wish you the best of luck and look forward to seeing you loose them pounds! p.s. i like your quote.:)

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

    • 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.
    • RacMag  »  bhogue925

      Hi, I’m new here. I’m currently on the liver shrinking diet. So far so good, but I have to say I haven’t found a protein shake I like. Anyone have any suggestions please? My surgery date is September 17th. 
      · 2 replies
      1. BlondePatriotInCDA

        Fairlife Core are by far the best. They taste just as they are - chocolate milk. You can either get the 26 grams or the 42 grams (harder to find and more expensive). For straight protein look at Bulksuppliments.com ..they have really good whey proteins and offer auto ship plus they test for purity. No taste or smell...

      2. BlondePatriotInCDA

        Fairlife has strawberry, vanilla and of course chocolate. No more calories than other protein drinks. Stay away from Premiere, they're dealing with lawsuits due to not being honest about protein content.

  • 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

    ×