I'm on Medicaid..and I'm worried!

I have heard some real horror stories about getting approved through medicaid for WLS! I'm through Buckeye which I heard is better, and my doctor told me to switch to Buckeye because he accepts it. Has anyone else had Buckeye and have been approved for WLS? If so, what can I expect?

Thanks,
lisa

When I first started looking into WLS, I had Ohio Medicaid...I was denied, and eventually had surgery paid for through other means....I'm not familiar with Buckeye, but one thing I do know from what I've read here....The surgeons insurance billing personnel is an important factor in the approval process....Medicaid moves slowly--the last thing you want is to wait the 8-10 months, only to be denied because a simple form wasn't included in the initial application...I would ask the surgeons office how familiar they are with the approval process, and how much luck they have had with getting surgery approved...Be prepared to fight to get what you want...medicaid simply paying for the surgery without a good fight isn't something that happens very often...but there are plenty of people here who fought hard and got they surgery they needed...Best of Luck

Thank you Theresa. I am hopeful that when my doctor finally submits everything to my insurance, that all I's are dotted and all T's crossed, and nothing is left out.

BTW..I love your signature..LMAO!!!

hi, i have buckeye and i the best advice for you is to make sure you have a list of everything you send them, they denied me at first and then my insurance specialist called them and found out that the reason why is b/c they wanted info that they already had in the file... when you call them, they will give you the run around about what is required but just keep calling and eventually youll get someone ...
make sure you know from your surgeons office what they want compared to what buckeye wants for approval
Good luck
oh and when i called to make sure they had the info, they lost it so the office had to refax, but all in all it took about 2-3wks to get approved

Michele..I could hug you!!..LOL

Thank you so much for your help. You have really made me feel much better!  I'll make sure I have everything they need the first time..Thanks again..