ANTHEM INDIANA MEDICAID

shaynabug
on 3/4/08 10:32 am - Jeffersonville, IN

Hello all,

I am new here and have decided on the lap bypass.  I have chosen Dr. Kehdy and have Anthem Indiana Medicaid and was wondering if anyone has the same and there experience with it.

I have already completed the seminar, the Bariatric packet, the Nutrition eval, the psych eval and have a scheduled surgeon appt. for this coming Monday.  I am assuming that I will have to have the routine cardiac and pulmonary work-ups and the abdominal studies as well.  The only concern that I am facing is that the nurse that set up the appt. said something about a letter from my doc stating that I have been alcohol, drug and tobacco free for 6-12 months.  Well since I have never done any the above that would certainly be no problem normally but as I have only had a PCP for approx. 4 mos. that could pose a problem. Also, I have already determined from my insurance that they pay for all bariatric surgery as it is clearly listed in the "What is Covered" section so that should not be a problem, and when I was completing the packet and called my insurance rep. I was told that there are no pre-requirements for this as long as my doctor refers me.  However, after reading through all of these posts I have found that most medicaid was KY and not IN.  I do know that there are 3 different kinds of IN medicaid and Anthem is by far the best. Any help and insights would be greatly appreciated.

dannyell
on 3/4/08 10:45 am - Louisville, KY
No information for you but I wanted to say hi and welcome to out lovely site. Glad to have you. Good luck....
Lee Ann B.
on 3/4/08 7:09 pm - Indianapolis, IN
DS on 11/14/12
First off....Hello and Welcome!   Welcome I had also just gotten a pcp in the area and after only having him for a couple months, he had no problem giving me a letter of cleanliness and recommedation for the surgery.  I also have medicaid...but mine is secondary to my medicare. All I had to do was the pre-op testing and the letters of  clearance from the cardiologist, pulmonologist and pcp. Not sure if this helps...but its a bit of info!

sigsignman
on 3/7/08 7:01 am
From what I learned...You are "Lucky"...Indiana requires all insurance carriers to provide coverage for "Morbid Obesity"...Which means they pay for your surgery. In Kentucky, I could not purchase for my company any kind of insurance that would cover morbid obesity or in our case surgery as it is not a state requirement. I complained to the Ky dept. of insurance and they pretty much came back and said it was not mandated in Kentucky.  I paid for my bypass surgery out of pocket. Good Luck to you...You should be very excited! David
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