Nevada Medicaid/Amerigroup confusion

Lisa S.
on 1/24/12 10:02 am - NV
VSG on 07/09/12
I am heart broken and confused. I applied for medicaid in mid August. They approved and sent me cards. I contacted Dr. Umbach for WLS. At that time, I had medicaid HMO. Dr. Umbach's office called for benefits and was told only needed 6 months medical weight loss. In September I got a notice stating that I needed to pick a group. So I chose amerigroup. So come January when Dr. Umbach's office was updating everyone's file then said Amerigroup's criteria is different: 2-3 years supervised medical weight loss. I still have medicaid. Why the different criteria?? I had 2 more visits to go to meet the 6 month requirement. I am physically ill hearing about this. Any suggestions??? I am devestated.

    


 


Shana16
on 1/27/12 6:02 pm - Las Vegas, NV
So sorry this has happened to you. Just keep fighting it.
 LIVE HOPE DREAM

Shana
            
Lisa S.
on 1/28/12 1:06 am - NV
VSG on 07/09/12
I am. I could kick myself for not having kept detailed records of all the diets I have attempted in the past few years. That would have helped big time. I am going ahead as planned anyways. I did the nutrition class Thursday. I can't believe they charge $100 for that. I have gotten WAY MORE info from all you guys here. Geesh!! LOL. I am gonna push for Dr. Umbach to submit for approval. I have major back problems. I am not sure, physically, if I can go another 2 years. And WLS is cheaper than spinal surgery.

    


 


Shana16
on 2/5/12 4:04 pm - Las Vegas, NV
Keep us updated on how it all is going...
 LIVE HOPE DREAM

Shana
            
lovingme2013
on 1/11/13 6:09 pm - Las Vegas, NV
VSG on 06/25/13
Hi did you have surgery yet? Same thing just happen to me with blossom bariactrics. I also was going to go with Dr Umbach he was my first choice Ruth checked with Mindy regarding my coverage I have amerigroup. I called Amerigroup and the gave me.Francis Teng he is having seminar today
Lisa S.
on 1/27/13 8:16 am - NV
VSG on 07/09/12
Sorry for the delay in getting back to you. I ended up self-pay in Mexico. Amerigroup is a joke. They say 2 year wait. I called them over 10 times to verify coverage. They kept telling me on the phone I was good to go after 6 month diet. But when Dr Umbach submitted for approval they denied. I was going to appeal. But my in-laws stepped in and paid for my surgery. Good luck!!!

    


 


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