New and DESPERATE for Answers

TammieDeeRob45
on 8/27/07 5:46 am - Camden On Gauley, WV
Hi..I am new to the forum..but I have been coming here for years reading others stories and journeys..I just never posted..I have been trying since Feb.2006 to get the Gastric Bypass Surgery..I went to the seminar ,had my physc evaluation..Got my 6 mth Dr supervised diet all finished.the PROBLEM is that I have WV Medicaid.  WV has a list a MILE long that they say You have to have before they will cover the surgery..way more than the stae of Virginia for the same surgery.and the same Medicaid. Has anyone here on the WV state forum ever had WV medicaid cover their surgery WITHOUT them having diabeties or being in a wheel chair or having to use a walker? I have seen on the message boards where a few have had it covered and some did NOT have diabeties. I have numerous other health conditions that my weight affects how I live EVERYDAY.. Multiple Sclerosis"have been diagnosed" Very Bad back..Several Herniated discs Arthritis in my spine IBD Incontience Fibromyalgia/CFS GERD..VERY BAD Hietal Hernia Carpel Tunnel Syndrome But NO diabetes and Im not in a wheel chair..This just doesnt seem right..Shouldnt diabetes be prevented if possibe?Why do we have to get it first??? My PCP..is 100% in favor of this surgery for me If anyone can help me or has any suggestions on how to get WV Medicaid to cover the Gastric Bypass for me PLEASE let me know..I only have my insurance for 6 mths ..I had to meet over a $5,000 dollar spin down in order to get it for that long.and that is unpaid medical bills. I am VERY DESPERATE for this surgery..I have a 10 mth old grandbaby that I have been taking care of since she was born..Its been really hard. and a 12 yr old son and they NEED me to be here for them..I also have a Mother who has Cancer and is very sick right now and needs me to be able to help care for her needs too..I feel so HOPELESS sometimes..But I have faith in GOD and he will give me the strength I need... Sorry for such a long post..  if anyone has any answers or suggestions..PLEASE help me.find a way to get this surgery.. Thank You for listening..and Thanks to anyone that answers in advance..Tammie
Lady__Bug
on 9/9/07 6:51 am - Mexico
Hi Tammie! Welcome to the boards. I can't offer any help with WV Medicaid - but wanted to make sure you had posted over on the 'insurance' boards. There are a lot of people there who have either had problems getting approved, or have knowledge on how to push through and appeal denials.

Maybe someone will have more info for you there. It's worth a Try!
Lady Bug
Lap RNY 12/04/2007
313/236/150 (WOO HOO! I made it into the 30's!  Next goal - the 20's!)
Age 54, 5'4"




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