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Coventry is easier to get approved than traditional Medicaid. They require 3 month supervised diet / exercise program and it has to be deemed medically necessary by your doctor. Good luck.
I called the office I had planned on visiting and apparently they don't cover the sleeve or lap band, just traditional gastric bypass. :\
If you find out anything please let me know! I just switched and was working on the year that Medicaid required, so I may qualify too.
Has anyone been approved through Coventry Cares. Unlike straight Medicaid, you are only required to have 3 months of physician supervised weigh loss but I can't find any other guidelines that have to be met. I have the sleep apnea, high cholesterol, GERD and Osteoarthritis so I know I meet the medical requirements but I don't know if they require that you lose a certain on your own. Anybody have any experience with them?
Anyone have this insurance and if so what is criteria for sleeve and does it cover it I'm getting conflicting information. Thank u.
I use the form my surgeon's office gave me when I went for my seminar. It has boxes for my original weight, latest weight, exercise(s) and duration of exercises. My PCP fills it out every month when I see her. Your surgeon should give you something similar.
How are you doing your exercise? The way insurance worded it is "a physician supervised nutrition and exercise program, over a consecutive 12 month period, including evaluation and management with a licensed dietician, and increase in physical activity, and behavioral modification."
I thought it meant doctor supervised exercise program but the bottom part makes me think exercise in general.
Cabell, Looking at CAMC or Cabell Huntington hospital, but I already went to a seminar at CAMC.
May I ask which county you are in? I'm in Monongalia. My surgeon is Dr. Akkary. Good luck!
I've been morbidly obese for most of my adult life with high BP for 10 years now, and had struggles to control it, but, I want to know what "aggressive treatment" is because I'm worried. My doctor said it would drop with weight loss, and he thinks I'm a good candidate, but I guess it depends on what Medicare thinks. :\