Medi cal and Gastric Bypass

MrsCalderon
on 1/16/17 10:02 am

Hi, can I please please get more info as to how it went for you, the office you went to, etc... I've changed my diet for a while already do some exercise and I can't seem to loose weight. I am located about 1 hour away from San Jose so this is perfect! I also have medical and would like to know if there's a process in order for medical to cover.... Please help! Thank you!!!!

Lori_43
on 11/14/12 9:14 pm - CA
VSG on 06/05/13

just re-read your post. from what i know you drive down to see him 2 times before surgery then you have to be down there the day before surgery to register with hospital i am not sure if you see him that day.i know you are for sure in the hospital for the first night (after surgery) and more then likely a second night.So if someone is driving you down then will need a hotel for at least 3 nights.

i would not bring kids to his office only because his office is shared with his brothers who are also docs its nice but very busy.i was surprised by how busy it was he is the only one of the brothers that does WLS i thanked him over and over again knowing he is really not doing this for the money because we all know that he does not get paid close to what he should be for saving all of our lives.

(deactivated member)
on 2/19/13 5:22 am
RNY on 05/01/13

I am researching right now on issues related to Skype and providing medical counseling service......Skype is not a secure enough encryption for HIPPA compliance. There may be ways in the future to incorporate some of the visits with tele medicine, but probably not in the near future.  I wish there was an easy answer here....it would put less burden on people who need help for sure, and at the same time, there are a lot of medical and ethical issues to consider.....that being said, it does seem like there are ways to use it.  Lets not forget though that medicine is all about $$$$$....and that is not saving patients money, it's about keeping the pharmaceutical companies and the medical industrial complex in $$$$$....so probably not a big priority for them. I hope your surgery goes great. I am glad to know it is covered, as I am losing my COBRA right after my surgery, and am in the process of applying for federal disabiliy. My state disabiliy has run out already...so as soon as I have the surgery and the post ops I am probably going to be folllowed at a county clinic myself...I can't afford the payments any more and have no income......thanks for asking the question.

Laccygurl
on 8/2/13 2:31 pm - Paso Robles, CA
Yes you have a very good chance. I to am on Medcal or Cincal health. My primary doc refurd me to my surgury doc in Santa Barbra. My docs name is Bounoua, love her. Good luck.
gigi32gigi
on 8/2/13 2:45 pm

OMG...Bounoua is awsome!!! I love her. I had my surgery covered by Cen-Cal as well. Stay on target and get your 5-15% weight loss done and all of your pro-op appointments taken care of and things move quickly. Currently I have lost 151lbs and have been refered to have my apron  (fat from the stomach) removed. Cen-Cal will pay for that as well if it is what they call "Medically Necessary". I wish you the best of luck!

10% Excess Weight to Lose!

                            
msbel
on 6/23/14 11:38 am - la habra, CA

Hello I'm now where you are here in this post.. did you get it done? I have medi-cal and live in orange county.. my bmi is 45 and I really don't have many problems but sometimes high blood pressure and sleep apnea but they are not diagnosed ... 

notdefined
on 10/27/17 12:54 pm

My Doctors have referred me to 2 different Bariatric places. The first one did NOT take my secondary insurance and the new places that they referred me to is quite a ways away! and I have no answers from them as of yet. I have Medicare ( Disability permanent) and State Medi-Cal. My BMI will not qualify me but I've been over weight for 26 years, Declared disabled in 2013 I have diabetes, Metabolic syndrome, Total neuropathy of my feet and legs up to my knees and in my hands, Fibromyalgia, Psoriasis and Psoriatic Arthritis, Lupus, Sjogrens, fatty liver that is 3 times its normal size, gall stones, kidney stones,sleep apnea, high blood pressure, bad cholesterol and super high off the charts triglycerides and I am sure I am forgetting a few! I haven't been able to get under 200 lbs without the help of phentermine and topamax but as soon as I stop taking it , the lbs come right back on and then some. I can not consistently work out because of my legs and conditions.
i am not sure what the best type of bariatric surgery would be best for me, Th referred Doctor wont even see patients for a consult until after they have gone to a Seminar and the first one isn't until Jan14th. I 'd like to know if I am covered first before I even start with them.
Seems such a hassle... has anyone else been completely covered with medicare and state medi cal in the Sacramento Area? if so who did you go through?

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