Question:
does anyone know does strickly medicad cover the surgery and what do i need to do to

i was wondering what i need to do to get medciad to pay for my surgery and how i go about it . Do i need to write them a letter or does my doctor do that for me .    — christa P. (posted on January 21, 2005)


January 21, 2005
I think with medicaid Your Physician is supposed to write a referal to a surgeon (Of your choice) and and then you will need a 6 month doctor supervised diet. Basically they need previous diet attempts and proof of them. It isn't to bad your surgeon will know what to do. Best Wishes
   — Shell G

January 21, 2005
YES medicaid payed for me to all you have to do is to have your dr to do it he can but i allso had to have last weight be for on ather diets i had so i got mine the first time .
   — mildred P.

January 21, 2005
Hi there, I had medicaid and medicare and live in Iowa......had my Ds/bpd done in Mpls MN. When I met with my surgeon for a consult......he asked medical history and then he sent a letter to medicaid/medicare explaining my health problems and how he feels they would be better after wls. They do NOT pre qualify.....all that happens is that your doc will submet a letter of necessity and it will be covered automatically. No worries......you are fine as long as you have at least 2 health problems related to obesity. I had (have) thyroid disease, depression/anxiety disorder and lymphoedema, sleep apnea and border line diabetic so I was set enough for 2 people lol Good luck! :) Lisa
   — Lisa Jean

January 22, 2005
Hello i live in Kansas and medciad pay for my whole surgery i had it in Aug. 2004 the only thing i did was went to the meeting filled out the paper work and went to my appts. with the doctor and i was approved your doc. will do all the letters and everything else. Good luck and God Bless.
   — evlyn C.

January 22, 2005
I have Virginia Medicaid and it covered my entire surgery. I didn't have to file anything. The surgeon's office took care of that.
   — SnowWhiteDove459

January 22, 2005
I am in California, and MediCal paid for my surgery. I had a BMI of 39.1, high blood pressure, Gerd, Arthritis, and other comorbidies. All I did was fill out my physician groups questioniere, listed all of the ways in which I had earlier tried to lose weight, and my relitives health history pertaining to problems caused by obisity. Hope this helps. Make sure you get a good group, with a competent insurance person!
   — lindarodham6

January 22, 2005
I just had my surgery on Thursday the 20th. I have medicaid of NJ. Without an HMO, they said that tere is no pre authorization. It is automatically approved. I would look into it in your state.
   — l0ract




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