DOC AT LSU IN NEW ORLEANS TAKES MEDICAID

Frances,

thank you so much. sometimes it takes hearing things from someone else who has already gone through things to get a better understanding.  

Wishing you well, but hoping you keep an open mind. The path for your friends might not be the path for you. You will be equipped to take very individual steps to wellness. It's not one size fits all, even when we are all one size.

Your vitamin needs are specific. I take very little, but my deficiencies are not the norm. Most gastric bypass patients need a much different regimen. I only needed 40-60 grams of protein a day ... even when my BMI was where yours is. Not that 71 grams is wrong ... it's just specific. Somebody needs to tell you the correct numbers for you.

I know you are frustrated and getting a whole lot of information, but please don't take my advice in the spirit that it is given. Keep an open mind ... this is a long haul. It doesn't just end in paradise on the day of surgery.

Wishing you well,
Frances

Thank You Frances for all of your wisdom. It does help to talk with someone that not only has been through it but, have loads of experiences dealing with all this information. Im doing my nutritionists  classes now and have just passed my psych eval so im truly hoping I can get approved. I have tried looking up medicaid's conditions for approving someone for weight loss surgery and cant find it anywhere.

 

Off to bed night ladies!

Morbid obesity is a medical condition. If you didn't have a BMI of more than 40, they would consider heart disease, and these biggies: 

• Type 2 diabetes mellitus - metabolic disorder resulting from the body's inability to produce enough, or to properly use, insulin
• Obstructive sleep apnea - when a child stops breathing during periods of sleep
• Hypertension - higher than normal pressure inside the arterie
• Dyslipidemias - abnormal concentrations of lipids in the blood
• Weight-related arthropathies (joint diseases) which impair physical activity
  
  Everyone's list is a little different and there are some very real factors usually not considered in approving bariatric treatment -- depression, GERD, asthma, etc.
  
  I think of my original insurance company's list, I had all but eleviated lipids. I always had beautiful cholesterol levels.
  
  If you have progressed to classes and the psych evaluation, there must be enough documented need to proceed.
  
  Keep an open mind. We are all different and the surgery is a tool. You have to arm yourself to use it. We don't all have the same results -- you will be a factor in your success.
  
  Wishing you the world!
  Frances

My BMI is 48.7 as of right now. Im watching what I eat and being more cautious of what I put in my mouth and how active I am in a day. Im trying to do at least 1 extra thing a day. I really feel like im on the right path so all that's left is to get my approval letter and complete me lessons. Then I will be on a new chapter! Thanks again for all the info and encouragement.! 

 Hey crystal did you hear from devon again about your letter? 

Well, I spoke to Devon this morning and she's calling medicaid for me. I asked about the co-morbib conditions thing and she stated that medicaid wants you to have an illness as well. I said ok but, I dont have any documented. She said because of my BMI she is trying to get it approved. Needless to say I feel down about it now. She faxing over my blood results to my doc and now im waiting to hear from them. Im going to go ahead and finish my nutrition classes and stick to all the changes I have made. Maybe just maybe I will get approved but, im telling myself it more then likely wont happen that way. This way I can get over it now and not later. ;( Thanks for all the support girls and Daboink I guess you were right after all!!

keep the faith my friend!

CONFUSED!!!!

I have my approval letter dated 11-17-2009 that said I was approved for 01-01-2009 thru 03-01-2009 . . . . well today I recieved a denial letter with the famous code 611

how do I get approved and then denied when nothing has changed? I'm so bummed right now!

 Keep your head up Crystal....

Froggieangel is there anyone at the medicaid office u can call i tried the other day and they just gave me a run around and around and i finally gave up....still only got the first denial letter nothing else...they told me if i had a bmi over 40 mine is 58.1 and high blood pressure then i should be okay but i just not to sure about that still scared i am not gonna get approved but i guess i just have to have faith.........