Recent Posts
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
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
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 6/20/14 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
Hey I am new to Florida and I am getting Humana as my Insurance through medicaid. and I was wondering what their requirements are.... Thanks in advance...
have heard of ONLY ONE Plastic Surgeon in Florida that has fought Insurance companies to pay for these procedures after we lose the weight.
In July I am planning to start asking too. After I talk with my Primary doctor as you'll need to get referrals too. As any surgery post-op from Bariatric
needs to be medically needed for insurance to even consider paying for it. Usually Body Skin Removal is NOT Covered at all.
What are your doctors telling you? The one I know is Dr. Naji K. Baddoura near USF in New Tampa area. http://www.drbaddoura.com
Have you've looked into Care Credit to help pay. It's a loan company http://www.carecredit.com/
Good Luck.
I have searched the site and google for that matter with no luck thus far so thought I would just reach out and ask.... Anyone have info on a panni procedure being covered by medicaid/medicare? I have had MRSA under my "folds" now, heat rashes, skin tears, (documented by doctors and some requiring small surgeries) also my panni is now just inches above my knees :( I am 36 and it is causing my walking and balance to be affected at this point too. I have an appointment with a Dr Mast at UF Shands in July but have heard it may not be covered. At this point I fear I may be living with this skin for the rest of my life and the pain and discomfort it carries. Thanks in advance for the help.
on 6/8/14 11:06 am - Margate, FL
Just wanted to update this post. I was submitted for approval on 5/20/14. At the same time given a surgery date of 5/28/14. Went the entire week w/o any news of approval/ denial. Office was closed on Monday 5/26/14 due to Memorial Day. On Tuesday office staff called & found out Medicaid never received submitted info. So insurance staff at surgeon office called in for a approval at 9:40 am.....at 11:40 am I received a phone call that I was approved for surgery the next day!!! Talk about down to the wire!!!! Surgery went great & I'm recovering accordingly.
Anyone in Gainesville area??
High weight 342
current weight 315
surgery date 6/11
