Straight FL Medicaid requirements? ???
on 5/22/14 3:54 am - Margate, FL
Girl, I have clue what I'm doing anymore. Lol! My whole insurance, job, medicaid, self pay situation is confusing. When I had medicaid (health ease) I was going to Dr Ramos. I talked to them last week and now they don't take share of cost. Maybe I will call UF and see what's up.
Have you had any luck with finding a doctor that accepts Share of Cost?
on 6/20/14 1:50 pm - Margate, FL
This is straight from my Humana verification of benefits when I had Humana/Medicaid:
1. Must have a Body Mass Index of 35 or greater
2. Must have at least one co-morbidity related to obesity
3. Must have been previously unsuccessful with medical treatment for obesity
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
Hello...Just wondering if any one has found out if medicaid requires 3/6 months of supervised weigh ins with your pcp?? I have years of medical records that shows I have attempted to loose weight. I even had a surgery date when I had bcbs thru my job...did all that was required but I had to leave work. So now I have medicaid and I don't want to do everything all over ( . And you know when you call medicaid you get 10 different answers. Just wondering if any one has any info.
on 6/27/14 2:44 am - Margate, FL
If it's straight Medicaid. .......Yes you need 6 months. You can also use your supervised visits that you already have. If you're on a HMO plan through Medicaid it depends on what their requirements are. Hope that helps. If not please feel free to ask questions I will answer them to the best of my ability. I just went through the hoops of Medicaid.
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
Thanks. ..if you don't mind me asking what hoops? I will have to choose a plan under medicaid soon and 3 out of the 4 plans said I didn't need the weigh ins..just medically necessity from my pcp. I have done the 6 months about 4 months ago..I don't want to do it all over. I'm not trying to bypass what's needed but I would like to use what I did. How are you feeling now? I'm happy for you..I can't wait
I have prestige heath insurance through medicaid - they required 6 months weight loss - i also had to take a nutrition class (but that might of been my surgery doctors requirement) they doctor also did a scope to make sure my stomach was okay - then they submitted it to my insurance and the insurance required i see a heart doctor and a lung doctor for clearance for the surgery - It probably depends on what insurance you have but usually i hear its 6 months weight loss - but it just depends on the insurance and sometimes differant doctors require differant stuff. I just meet with the lung and heart doctor and got their approval so now im waiting to hear if the insurance approves it - im so excited !!As far as i know prestige doesn't require anything else but the trying of weight loss - i dont have any health issues that i know of because of being over weight i know some insurance require you to have complications from the obesity .