Ohio Medicaid LOOK OUT!!!

K, I've HAD it!!!!! GRRRRRRRR!!!!!!!!!! I called my nurse yesterday and asked her to find out if Ohio Medicaid had reviewed my case (they were supposed to either May 12 or June 9), so she called and spoke with a NICE woman (every time she has called they have been so rude she has had to threaten to speak with their supervisor!!) and this woman said that no they didn't but I was up for review on June 9 and that she would personally go pull my file and make sure it got put where it needed to be. Well that's nice and all but my case got submitted to them in Sept of 2004!!!!!! At first they said 3 months, then it was 6 months , well IF they review it in June that will have been 9 MONTHS !!!!! I have been patiently waiting and I'm not doin it NO MORE !!! Especially because they could very well say um no DENIED because my weight is 256. I am diabetic though but ya never know with them..soooo listen to what I did for 'insurance' for my insurance ...I called my state representatives office 8-l, they called me back yesterday but I wasn't home so I called them back but the guy was on the phone, so I'm sure I'll hear from him today , also a friend on here referred me to email a state senator , so I did and got an email from this woman today saying that she would forward my email to the senator in my district and that she would personally follow my case and get her nose in it too. WOO-HOO, nice to know that my state is willing to help the people who get 'lost' in the 'system' like myself...9 months what a bunch of CRAP!!! Do u realize that if I had my surgery 9 months ago I'd probably have all of my excess weight off and be on my way to a tt and boobs ? That irks me bad...I could be riding on the back of my mans bike .....but nooooooo now I will get to sweat through the summer and be uncomfortable ...grrrr.... ~Tema

Tema, I am so sorry that you are going through all this frustration. I don't have medicade or medicare but I have been told that it usually takes at least a year for them to give approval. So, as long as you have been waiting, just think you are almost there....Keep up a smile.....Pam

Can I get an Amen for tt's and boobs??? Tema, we'll just have to be sweaty and uncomfortable together this summer.. Chipymunk

i am just starting the prosess. i guess i have a lot to look forword to. let me know how it goes.where will your surgery be?:lol debbie

Wow, it is really amazing how everyone has a different experience. I was approved by Medicaid in 2 months tops. And it was the first time my doctor had ever requested authorization for anything. Then I read another patients profile who got denied and had to appeal twice during the same time period where I was approved. Sorry I don't have any advice but to keep doing what you are doing and stay on their *ss.

AT THE TIME THAT I HAD OH MEDICAID IT TOOK LIKE 7 MONTHS FOR THEM TO REPLY. THEN IT WAS A DENIAL. THEY SAID I DIDN'T HAVE ENOUGH CO-MORBITIES. OKAY, I HAVE A BMI OF 49, UNDER ACTIVE THYROID, SLEEP APENEA, HETIA HERNIA, HIGH COLESTRAL, HIP AND BACK PAINS THAT I HAVE TO GO TO THERPY FOR 3X A WEEK, DEPRESSION, ACID REFLUX, ETC., ETC. NOW I HAVE ANTHEM AND MY COMPANIES PLAN HAS A WRITTEN EXCLUSION JUST FOR GASTRIC BYPASS. I CAN'T WIN FOR LOSING. AURGH!!! I'M STILL TRYING THOUGH, THAT'S ALL WE CAN DO.