New to this site...Anyone with Prestige Health Choice (Medicaid) I need advice please ...
I just began my journey for wls and new to this site... Im planning on getting the roux en y gastric bypass at tampa general hospital with Dr Murr who from all the research I have done see very positive things about him....The only step I have completed so far is going to the information session where I learned alot of things including the steps I have to take for my insurance to approve my surgery. So far I have alot of things to get done I scheduled my first visit for my 6 months supervised diet next week which my surgeons office provides. I haven't had a PCP because i have been seeing my OBGYN for over a year now since I have a 10 month old but I did make a appointment with a PCP who is in the same medical group as my surgeon I have my fingers crossed hoping it will be easy to get a referral for my surgeon this way...
I am 6'3 and im about 360 pounds which put me at a bmi over 40...45 to be exact I have joint pain shortness of breath and its getting hard to keep up with both my kids my oldest whos about to be 7 and my youngest 10 months old.
Well enough about me basically what im trying to find out is if anyone has FL medicaid , what are all the requirements that I need , what are the chances of my insurance approving my surgery having medicaid and prestige as my hmo and how long did this whole process take including the 6 months.... Im so excited to be going through this journey and Im hoping for the best
Thanks In advance
on 8/21/14 5:58 am, edited 8/21/14 5:58 am - Margate, FL
If you've discussed your weight with your gyno Dr that counts toward your 6 month visit. I have Medicaid surgery was 5/28/14 & used a combination of 3 Dr's for my 6 visit. As soon as I completed the requirements I waited less than 1 month & had surgery
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
on 8/22/14 1:39 am - Margate, FL
As far as what your requirements will be. Different surgeon have different requirements. But Medicaid required: 6 month supervised PCP visits, psyche clearance, letter of medical necessity
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
on 8/25/14 9:40 pm - Margate, FL
Your PCP does the letter of medical necessity
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone