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Does anyone know of any doctors who take the share of cost medicaid plan for weight loss surgery? And do you know how that works? Am I going have to pay $700 each month? Please help. I'm so desperate!
Curious about how he is as a surgeon. I am in the beginning stage and just want some input about him. Thanks in advance Brenda
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on 4/16/15 4:07 am - Margate, FL
Yes contact the surgeon you're interested in. Go to a seminar & there they will give you everything you need to get approval. Also be sure to talk with the insurance coordinator who is usually at the seminar to get precise information as it relates to your coverage which is straight Medicaid. Do not say you have SOC bcuz most ppl don't know the way it works. Who are you thinking of going to? Which procedure?
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
I'll just go through the Medicaid doctor being that I have to start over anyway. He told me to gather what he needed to do and he would do it. Should I just contact the surgeon I'm interested in and ask them what he needs to do? I think UofFL had some stuff online for the doctors involved. The Medicaid doctor I was seeing had not done it so I believe I'm going to have to navigate the lining up of stuff myself. Will the surgeon have a list for me/him?
on 4/15/15 5:21 am - Margate, FL
Your pcp don't have to be a Medicaid doctor. As far as your dieting history get copies of those records. Being that you haven't seen the Dr since Dec they won't count as 6 months visit. They have to be 6 months consecutively. If you was still seeing that Dr it would count. Question: the pcp that is supportive of you having surgery can you see him/her for 6 months back to back? If so start now. ...all Medicaid needs from your surgeon is the Dr notes. ....showing 6 visits of weigh ins & discussion of weight loss attempts & also a letter of medical necessity. Start with the surgeon now as well so at the end of your 6 months you should have all tests done & only waiting on the 6 months visit to submit for approval. But your pcp don't have to be a Dr that takes Medicaid bcuz you're be approved through the surgeon that accepts it
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
I have a PCP that I normally go and see, I have not been to see him since December though. He is not Medicaid approved or covered, although I have been under his medical supervision dieting with phentermine for over 2 years now. I was advised by the Medicaid office locally that if I wanted to pursue the weight loss surgery I would have to start by getting a Medicaid approved PCP. I went to see one one time back in June or July of last year and he agreed it would be the best route for me, but I did not go back after I was turned away from all the surgeons offices. I have documentation that I have been dieting and using phentermine for over 2 years now, but it's coming from a non Medicaid source so I don't think they will take it.
on 4/15/15 4:55 am - Margate, FL
If you schedule all your appointments for the same month you're covered. Things needed for approval are: clearance from heart dr, psyche exam & clearance, endoscopy, nutritional visit, 6 months pcp visit & letter of medical necessity. if you're not covered by insurance it can be very expensive. So it's up to you what you do. Have you been to a doctor lately?
DS: 5/28/14
HW: 310
SW: 302
CW: 160 ( 1 year post-op) 160 lbs gone
So I have to go to the er every month For like 6-8 months? I mean I understand it just seems extreme. :) I don't mind paying out of pocket for the visits, can I just visit the er before I have to have blood work or tests?
