Medicaid

buckeyegirl27
on 6/7/10 2:21 pm
RNY on 12/14/10 with
I was just wondering if anyone else out there has medicaid and how the process went for getting approved for surgery.  I went to a seminar and just now got approved for medicaid.  Hopefully next month I will be with Paramount Advantage...a medicaid carrier so I can get the ball rolling.
Erica Wilson
on 6/11/10 11:39 am - Barberton, OH
I am not familiar with Paramont Advantage but have Buckeye and was approved after their required 6 month MD supervised diet and exercise program. I know my surgeon said if I was on Caresource I would need to switch because they don't like to cover. Call your member services department and maybe they can help. Also speak with the person at your surgeons office who submits the approval to the insurance. If no luck insist on a different carrier or straight medicaid.
hope this helps.
Erica Wilson
Totally Worth It.

buckeyegirl27
on 6/15/10 2:47 pm
RNY on 12/14/10 with
Thank you!  I am waiting on my insurance card to come in the mail...it is supposed to be here by July 1st, and then I will get to go to my dr. and have her refer me to the surgeon...which then is when I have to do all of the weight loss program (they said it was 3 months) and go from there!  I am just getting so impatient!!!
alesica
on 6/18/10 1:04 am - OH
 When I first started trying to pursue the surgery it took a long, long time to get approved and part of that is because my insurance wouldn't approve me. I went from ohio medicaid to anthem insurance and then finally they approved me and after that my insurance has changed twice!. So, I wish you all the luck in the world and going through 4 long years of trying was worth every moment! 
MrzPrecious Que
on 6/19/10 5:48 pm - OH

l have paramount advantage and l was initially denied, l filed an appeal and l was approved. This whole process has taken over a year, l started in May 2009.  My surgery is June 28, 2010.

buckeyegirl27
on 6/21/10 3:39 am
RNY on 12/14/10 with
Thanks everyone!!!  I guess I will just have to learn patience...and see what happens!
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