Recent Posts

Winnie_the_Pooh
on 2/17/13 5:37 am
Topic: RE: Anyone near the Akron area?

Besides the monthly support meeting there is one with Dr. Perkins which is more about the emotional struggles after WLS.  It is a nice group.  Then there is the meet up group that was started by Tom above so there certainly no lack of support for the Summa patients.

 Winnie

 

Winnie_the_Pooh
on 2/17/13 5:31 am
Topic: RE: buckeye medicaid anyone???

Call his office and ask for Bev.  She is very familiar with the requirements for the different insurance companies. Ohio Medicaid does cover bariatric surgery but I am not sure of the requirements. I am almost certain that Buckeye has to follow Ohio Medicaid.  Bev would know that.  She is very good. 

 Winnie

 

shellbear
on 2/14/13 2:22 am - Newton Falls, OH
Topic: buckeye medicaid anyone???

Has anyone recently gotten approved at Akron city with dr dan with Buckeye. if so, what are the requiements and does he still charge the program fee for medicaid

Michele (a new me started on july 17th 2008)


junglejim
on 2/12/13 10:02 am - South Western, Oh
Topic: Protein Balls from member in Columbus

started on this journey years ago great success then slipped and fell off track. Fall down 7 times stand up 8! So I am back two weeks in doing better. One breakfast I loved was by a guy on here from Columbus Ohio. Made with PB oats cocoa ?????? If he is still on here or anyone knows the recipe PLEAS give me a shout

Robber
on 1/19/13 10:21 am, edited 1/19/13 10:22 am - Dayton, OH
VSG on 02/12/13
Topic: RE: Dayton

Yeah, with the ds having more complications I'm betting they're wanting to start more people out with the sleeve unless they meet the ideal conditions, then if they don't get the results they're looking for they can always revise it to a ds later. Dr Teel actually said that it wasn't a procedure he'd perform on a member of his family.

I got insurance approval last year, but it was too late to get it done by Jan 1 and my employer switched insurers at the end of the year, so we had to run it by the new insurer too. Finally got that approval on Wednesday and now I'm just waiting for the scheduling nurse to call. Getting the actual approval freaked me out a little bit, suddenly it all seemed very real...

firelle
on 1/19/13 3:17 am
VSG on 02/26/13
Topic: RE: Dayton

Robber, I talked a little more with the staff there, and found out Dr. Maguire no longer performs the DS, and that Dr. Siddiqui might, but it's very seldom. They apparently have really turned away from that surgery! I'm waiting for insurance approval right now for the sleeve from Dr. Teel. It was submitted to ins on the 9th, and I haven't heard anything yet, and my calls to insurance only tell me it's still in review. I know it can take up to two weeks, but it feels like forever. I'm a nervous wreck.

 

Valerie   I stayed at the Golden Lamb Inn when I was a kid and didn't care about historic buildings or anything besides my Game Boy. Don't remember much about it except that downtown was beautiful compared to my hometown with its one stoplight.

-Heather

Robber
on 1/18/13 5:23 am - Dayton, OH
VSG on 02/12/13
Topic: RE: Dayton

Yeah, Dr. Teel talked me out of the DS and iinto the VSG as well.

Valerie G.
on 1/16/13 8:05 am, edited 1/16/13 8:06 am - Northwest Mountains, GA
Topic: RE: Dayton

Hi Heather!

I'm in Lebanon - 7 years post op DS

Valerie
DS 2005

There is room on this earth for all of God's creatures..
next to the mashed potatoes

Misty Morgan
on 1/12/13 11:12 am - Goshen , OH
RNY on 04/24/13
Topic: RE: Molina Healthcare Ohio (Medicaid) Insurance qualifications !
Good so far. I am currently on my fifth month of the supervised diet/training required. Once I am done early March we are submitting to insurance for approval. If you have a BMI over 40 you will qualify easily with Molina. You just have to do the 6 month diet. And do the drug/alcohol test, cardiac clearance, pulmonary clearance, and sleep study. I had all the testing done the first month.

After you get the Medicaid do not pick Caresource as your managed care plan. They require a 9 month diet!!! Molina is the best I think. Definitely start the process now. You will more than likely have to do an informational session from the surgeons office before they will schedule the first appt. And most only hold those once a month and then it can take awhile go get first appt. Start now because it is a long process with Molina.
                 

on 1/12/13 11:04 am - bellbrook, oh
Topic: RE: Molina Healthcare Ohio (Medicaid) Insurance qualifications !

How is everything going with this? My husband lost his job shortly after thanksgiving and we will hear of all the assistance we will  get sometime next week. We should qualify for Medicaid. I have been wanting and waiting for WLS for the last 4 years. If we qualify for Medicaid, I am going to immediately get started on the process. I would just like to know how everything is going with your approval. I would hate to go through all of this only to be denied.

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