Medicaid coverage in Louisiana for Gastric Sleeve
Hello Alayna,
I am so sorry, I can't tell you how many calls I get a day from your state with people in tears. There "was" only one surgeon that was taking state medicaid we were aware of, Dr. Dominguez. As of the 1st of May, they no longer take Medicaid.
Dr. Johnny Perez was taking some medicaid patients for WLS, but his primary surgery was not weight loss. Due to the huge volume of WLS patients that came to him after Dr. Dominguez, he is no longer taking new WLS patients. Cheryl in the office said they are trying to get another surgeon in the office and for potential new patients to call in 3 months. Here is a link to his site.
We wish you luck and let us know if we can do anything else to help.
Regards,
Kathy
ObesityHelp Member Services
HW:330 - GW:150 - MW:118-125
RW:190 - CW:130
on 5/19/17 9:21 pm
Every time I read about this, I just feel so sad.
To the OP, don't give up. You're worth the effort and fight.
"What you eat in private, you wear in public." --- Kat
I was told by my Medicaid provider if I found an "out of network" doctor who would agree to do the surgery with a submitted letter from my PCP I could get my surgery approved. The dilemma is no doctor seems to want to do that in Baton Rouge because it isn't worth the little money they actually receive from the procedure. Whatever happened to helping those who are trying to change their lives for the better? Money isn't everything. I've called around and gotten "No" with no hesitation or empathy.
I contacted Dr. Perez office and they indicated it would be 3 months in April and in July its was 8 months. I have contacted Governor John Edwards office and I hope others join me in filing a complaint indicating no doctors in the Baton area and now NO doctors are accepting Medicaid. I understand that Medicaid does pay the doctors enough to perform the surgery. There was a bill to increase the amount- I hope we can get the Governor's support.
Do you have any idea the time frame Dr J Perez's office is giving new patients now? My doctor faxed everything over to them and I called for an appointment and she told me that he wasn't opening any new spots yet, but didn't explain anything else. Just curious how long until he'd open up new spots or if there is any other dr's out there? He was the one my primary told me about so I'm new to all of this :/