I know battling insurance has got to be tough. For some reason I thought that Medicaid approved peoplefor surgery easier than private insurance, but it doesn't look like that's the case. You have more than enough comorbidities to demonstrate medical necessity. I wish I had advice for you; all I can say is good luck, fight the good fight (because it is worth it!) and in the end you'll be so glad you stuck to your guns! Keep us posted on how things are going, ok?

Hi! i am wondering if anyone has had experience with a revision from Rny to DS and had it done here in Washington.  i had Rny in 2008, but my BMI was so high that I am not seeing the best results.  My surgeon didn't offer DS, and from my research I've found that it has a greater % of excess weight loss especially in those with really high BMIs(over 50).  Any info will be helpful!!!

I was close to giving up this morning. Your right tho..! I feel this is the right thing to do and, I'm just going to do it. I'm a fighter till the end. I pray that the ALJ will take pity on me and, grant the approval I deserve.

If not I'll try again, my daughter has been very supportive of me and keeps telling me not to give up.

If anyone here in Washington State was approved through Medicaid with similar co-morbid conditions please respond. I think if I can show them that others were approved with similar conditions they might reconsider.  

And thank you all for the supportive responses...

-Billie

Don't give up, if you feel this is the right thing to do for yourself.  I can only imagine that working with the state would be like, insurance companies are bad enough.

I have an appeal hearing in 2 days. I got a call from my lawyer asking if we wanted to withdraw from the hearing. He stated that my chances of winning an approval were really slim because I do not have diabetes or need joint replacement. 
I'm on State Medicaid....
My co-morbid conditions consist of;
-Obesity
-High blood pressure
-bad cholesterol
-High triglycerides
-degenerative joint and disk daises-Knees and lower back (just had an arthroscope)
-Impaired fasting glucose
-GERD- acid reflux
-sleep apnea
-stress inconsistencies (constipation, blood and pain when having a bowel movement)
-depression

Is there any one who can offer pointers on what to expect with the hearing or give me advice on what I can do to increase my chances of being approved.

Right now as it stands I'm trying to build a good argument around the facts that my health concerns are just being held at bay by the medications (I'm currently taking 8 types of medication some are narcotics). I'm at high risk with my BMI being at 44.3 (+or-) to develop type 2 diabetes or eventually joint replacement. I have had a back surgery but my back never improved.

Any help or encouragement would be greatly appreciated....

-Billie Jo