Atl. Medical Center Seminar...
I HAVE MEDICARE AND MEDICAID AND IT'S TRUE, THEY DO NOT PRE-CERTIFY, BUT THEY WILL PRE-DENY. IF YOU HAVE FULFILLED ALL THE REQUIREMENTS THAT THE OFFICE MAKES YOU DO, THEY WILL APPROVE. THE REST IS JUST BEAUROCRATIC RED TAPE. IF THEY APPROVE, YOU GET A SURGERY DATE QUICK FAST, LIKE WITHIN A MONTH. THE PROCESS BETWEEN THEM SENDING THE PAPERWORK AND GETTING AN ANSWER WAS IN MY CASE, LESS THAN ONE WEEK.. JUST LIKE PAT SAID, GET EVERYTHING IN B4 THINGS CHANGE. RIGHT NOW, IT'S ALL GOOD. I'M SCHEDULED FOR SURGERY THIS MONDAY. I WOULD SUGGEST THAT YOU RESEARCH A PSYCHIATRIST WHO WILL TAKE YOUR MEDICARE/MEDICAID BC THOSE CLEARANCES COULD COST UPWARDS OF $700. CHECK WITH MEDICAID. SINCE I HAVE MEDICARE PRIMARY/MEDICAID SECONDARY, I USED METRO BEHAVIORAL CARE AND USED DR. PAUL MAKIM ....I THINK DR. SHAH DOES IT TOO! THE PHONE # IS 770 513-7666 227 SCENIC HIGHWAY SUITE A IN LAWRENCEVILLE GA 3OO45. MEDICAID TRANSPORTATION WILL PAY TO GET YOU THERE. THE ONLY THING THAT YOU WUILL REALLY NEED TO SAVE UP FOR IS $100 FOR YOUR NUTRIONAL/EXERCISE EVALUATION. SOMETIMES WITH WORK, THE GOVERNMENT WILL REIMBURSE YOU FOR THAT. OR, YOU MAY GET IT FREE ELSEWHERE, BUT I WOULD HIGHLY SUGGEST GETTING IT AT THE WELLNESS CENTER AND EATING THE $100 BUCKS. THEY ALLOW YOU TO RETAKE THE COURSE FOR UP TO ONE YEAR POSTOP AND MAKE THEMSELVES AVAILABLE TO YOU FOR PERSONAL CONSELING. YOU CAN DO IT AND RIGHT NOW THE TIME IS RIGHT! NOW GET UP OFF YOUR AZZ AND GET THESE CLEARANCES B4 THE GOVERNMENT CHANGES ITS POLICIES, ALSO, AS OF RIGHT NOW, DR. DUNCAN'S OFFICE IS THE ONLY ONE IN GA TAKING MEDICAID OR A MEDICARE/MEDICAID COMBO. THE OTHERS ARE ASKING FOR LIKE $4,000 ON THE DOWN LOW. ONE WOULD NOT TAKE ANYBODY WHO HAD BOTH MEDICARE AND MEDICAID BECAUSE THEY SAID BC OF LEGAL ISSUES, IT'S WRONG TO ASK FOR A CO-PAY WHEN SOMEONE HAS A SECONDARY.. NOW GOOOOOOOOOOOOO...,QUICK! LOL! HUGZZZZZZZZZZ
"Purple"...I just wanted to say that I have met up with the as you put it "ONE WOULD NOT TAKE ANYBODY WHO HAD BOTH MEDICARE AND MEDICAID BECAUSE THEY SAID BC OF LEGAL ISSUES, IT'S WRONG TO ASK FOR A CO-PAY WHEN SOMEONE HAS A SECONDARY.. ". That one I encountered also...and it was NOT a good experience. I'll leave my comments on that office at that...although trust me; I'd love to say more!
OH, I FORGOT TO TELL YOU TO SEE IF YOU CAN GET SOME EMERGENCY MEDICAID...I HEARD THAT IF THEY GIVE YOU A CHOICE PEASCSTATE IS WHAT WORKS BEST. IF YOU GET THAT MEDICAID, THEN IT WILL COVER THE 20% THAT MEDICARE DOES NOT. IF YOU HAVE DIABETES OR A LOT OF OTHER PROBLEMS, RESEARCH A PROGRAM CALLED COMMUNITY ARE SERVICES PROGRAM OR THE ICWP, INEPENDENT CARE WAIVER PROGRAM. THE PROCESS TO GET APPROVED TAKES MAYBE 4 MONTHS, BUT THE CLEARANCES WILL TAKE THAT LONG TOO. IF YOU GET IT YOU WILL HAVE THE MEDICARE/MEDICAID COMBO, PLUS SOMEBODY TO HELP YOU AROUND THE HOUSE AND PHYSICAL THEREAPISTS TO HELP WITH THE EXERCISE. ICWP APPROVED ME IN LIKE 4 MONTHS AND I WAS ALREADY ON CCSP. I AM IN A WHEELCHAIR, WHICH HELPED, BUT OTHER CIR****TANCES ALSO MAY GET YOU IN ND IT AUTOMATICALLY GIVES YOU FULL MEDICAID, INCLUDING PAYING YOUR MEDICARE PART D PREMIUMS AND PART A AND B DEDUCTIBLES. HOPE THIS HELPS. WISH SOMEBODY HAD TOLD ME.
Hey Renee. Your day is almost here. I was coming online to send you a message and there you are. I wanted to let you know that both you and your doctor will be in my prayers. I also thought I would share a mental trick I did right before surgery. As they were hooking me up to all the machines in the operating room I was sure to ask everyone how they were today. When they replied good I told them "Good answer" Then I smiled and went to sleep. Good luck honey. I am going to try to come visit you on Monday evening.
Bigs Hugs,
Pat
~~~Pat~~~
Hi:
"purple"...thanks so much for the invaluable info you gave me. I am going to use the number you gave me and do all the work I can to get approved ASAP...or at least get a surgical date. It looks as though I wont have a Medicare problem based on what's been said after my initial posts...thanks ALL!!!
I do have a number of co-morbidities, I do have at least 100# to lose, and my BMI is >43.
Thanks again to all, and of course there's never too many posts, so if someone has something to add; please feel free.
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