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Terri M.
on 5/29/14 3:53 pm - Evansville, IN
Topic: RE: anthem Medicaid question

A total of 4 trips before the surgery.  1) Seminar 2) psychologist 3) pre op tests 4) nutrition class. Then of course for the surgery. Afterwards I plan on following up with surgeons office for a year then will probably start having my PCP order labs.

Keeshaja
on 5/29/14 11:00 am
DS on 10/21/14
Topic: RE: anthem Medicaid question

Thanks so much for replying, they are about four hours from me too how many times did you have to attend the nutrition class? I live in Michigan City Indiana So it's quite far for me too

 

Terri M.
on 5/29/14 10:58 am - Evansville, IN
Topic: RE: Hello from Muncie

Insurance did not require it.  I also had a letter from my PCP stating that I had tried dieting for years and had failed.

Terri M.
on 5/29/14 10:55 am - Evansville, IN
Topic: RE: anthem Medicaid question

At the seminar the surgeon gave us a list of psychologist that they would accept evaluations from.  None of them took Anthem and all of them were "out of network", so I just went with the one that is in the bariatric office.  It was $120.00.  The only other thing I had to pay out of pocket is the nutrition class.  Insurance doesn't cover it. It was $150.00.  Of course the surgeon is 4 hours away from me so I have also had to pay for a full tank of gas each time.  

Keeshaja
on 5/28/14 11:20 am
DS on 10/21/14
Topic: RE: Hello from Muncie

So you did not need six months of supervised diet? Or had you already done that step?

Keeshaja
on 5/28/14 11:14 am
DS on 10/21/14
Topic: RE: anthem Medicaid question

Hello Terri where did you go to have your psychological evaluation done?

Terri M.
on 5/27/14 2:17 pm - Evansville, IN
Topic: RE: Hello from Muncie

I have Healthy Indiana Plan-Anthem Blue Cross Blue Shield. I am scheduled for surgery at St. Vincent in Carmel on June 12.  I am 5'2" and 297 lbs, 46 yrs old, BMI is 54.3. I have GERD, sleep apnea, high blood pressure, high cholesterol and pre diabetic. I have a cpap and take meds for the other.  I am in Evansville.  I am having the duodenal switch with Dr. Inman. She is one of less than 100 in the world that does this type of surgery.  I encourage you to read everything you can on this surgery.  With all of the cormorbidities you have plus the high BMI I think this surgery would benefit you the most.  It has a higher percentage of getting rid of the hpb, sleep apnea, type 2 diabetes, and high cholesterol.  You will have quite a few vitamins to take every day forever.  You will also need to eat a lot of protein and fat every day.  Go to DSfacts.com and Bariatricfacts.org these 2 sites have so much information on the DS.

Also it took me less than 100 days from attending the surgeons seminar to date of surgery.

Terri M.
on 5/27/14 2:03 pm - Evansville, IN
Topic: RE: anthem Medicaid question

I have the Healthy Indiana Plan/Anthem Blue Cross Blue Shield.  I am scheduled for DS on June 12.  I went to surgeons seminar.  I had to have psychological evaluation and then the required pre op tests (mostly just blood work) required by the surgeon. Once everything came back good on that I got scheduled for surgery.  14 weeks from seminar to surgery.

adore9127
on 5/22/14 2:24 am
Topic: anthem Medicaid question

Hi I was wondering if anyone has had gastric bypass done while on Indiana anthem Medicaid. If so, what did you have to do and how hard was the process?

severman
on 5/21/14 11:07 am - Indianapolis, IN
Topic: RE: Hello from Muncie

I had my surgery at St V Carmel 11 years ago before they opened up the Center of Excellance.  I didn't care for my surgeon (he has since retired), but the hospital itself is ok.  I prefer the doctors at Community North.  If you could get in with either Dr John Ditslear or Dr Rose Marie Jones, they are awesome.  Dr. Jones used to be at St V Carmel and left to start program at Community North.  I  had her as a doctor there at St V Carmel, she is very good at what she does.  Dr Ditslear left Clarian North to join her at Community North.  He is a specialist and is who I see still.  I have blind loop syndrome.  He saved my life.  I highly recommend them!!!!!

Good luck in your journey.  Don't give up!  And please take your vitamins!!!!!

 

Stephanie E

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