Medicaid

I currently have PHP Mid Michigan Family Plan. WHat my question is..... What are the requirements for me to be able to get the surgery done? How long shoould I look at it taking for me to get a surgery date?

Any insite will be and would be appreciated!

Thanks

Tracy

It would be best to call the insurance company and ask.In my experience you must have 6 months documented supervised attempted weight loss by a physician.But it my depend on comorbities and bmi.Call the insurance company get a detailed list and go from there.Have you attended any seminars for the wls?

I havent attended any seminars yet. I will when my doctor is on board and starts sending me in the right direction. I go Tuesday to them and hopefully they will make a referal to Sparrow Weight Management Center. I am going to call the insurance company again Monday and ask them to send me the requirements so that I have them in writing! That will give me the feeling of being in the race instead of observing it!

I have high Blood Pressure and High Cholesterol. Diabetes run rampant in my family but I have been cleared on that so far! Heart disease Is bad on both sides of my Family! My body Mass index is 47.9

I appreciate your response! Thank You~

I am not sure who takes the php medicaid because that's not what I researched but I do know that your doctor does not need t be on board for this to happen.  My doctor is very opposed  to it.

I have straight medicaid right now because I am married and have insurance (that sucks and covers nothing) but I am getting a divorce and my insurance has been cancelled.  I called 27 MI surgeons until I found one that took medicaid.... Mclaren Institute takes Mclaren health plan medicaid.... so as soon as the state verifies that my insurance is gone I will choose the mclaren as my medicaid program and Im good.   They DO require 6 months documented weight loss before the approve it so I am working on thatr right now.  You are not allowed to go more than 6 weeks in between dr visits or your 6 months starts over again. Monday is 1 month for me and I've struggled a bit this month mentally and physically but Im in a very good place now so even if It turns out I didnt do great this month I think I will by my next appt.


Let me know what you find out with the PHP Im very interested... I am just totally over trying to call different places.  I have my surgeon picked out and Im just working on all the fine details I guess.. LOL

I know that when I called them on Thursday they said to have my doctor refer me to Sparrow Weight  Loss Center. They have a bariatric thing there so that is what I am thinking I am going to go with... which is fine because Sparrow is great with all my mothers Heart problems and such.

 I will keep you updated on what I find out!


Hugs,

Tracy