Weesha032981
Member
Hello, my name is Alicia. I have been considering bariatric surgery for 5 years. However, due to benefit exclusions in my health insurance, I was denied the opportunity to have the surgery even though deemed medically necessary. This sincerely frustrated me. My thoughts were hostile. I just couldn't wrap my head around the fact that my health insurance, which I paid for, could tell me they would not cover surgery that was deemed MEDICALLY NECESSARY! How crazy is that?!? Long story short, due to a career change, I recently qualified for Medicaid. I couldn't have been more elated because I knew without a doubt, that I could finally have the surgery that was going to send me in the right direction to a healthier life. I have began the process of getting my prerequisites in order. I attended the seminar today. I have previously attended but wanted and had to attend it again. I am calling Humana CareSource (the branch of Medicaid I am insured through) on Monday to find out if I need to complete the 6 months of medically supervised weight loss. I have reviewed the member benefits chart. It only states that it will cover it as long as it is supported by medical necessity. It does not go into anymore detail. I hope that I do not have to wait another six months. Not because I don't want to put in the work, but because I have been trying to lose weight for more than 15 years. I am more than ready for this lifestyle change.
I have PCOS, insulin resistance, excessive acne, hair growth, infertility, etc. I am at that crossroad in life where I need to do something major or I am going to end up with any number of medical conditions that run rampant in my family. My family are all big people with many of the worst medical issues one can endure. I am only 33 and I no longer have any grandparents. My parents and half sister have health issues related to obesity. I do not want to travel down that road. They put me in the super morbid obesity category today. That was a lot to take in. I do not feel "super morbid obese." I am active daily, I get around fine, I can walk a flight of stairs and not feel short of breath. But no matter how hard I try, I cannot lose the weight. It has been a real struggle. I do not have any underlying medical issues other than PCOS that contribute to my obesity. My doctors have been referring me for years to have surgery.
So here I am, ecstatic for this opportunity to change my life. I wish each of you the best of luck and look forward to reading about your journey and sharing our experiences.
I have PCOS, insulin resistance, excessive acne, hair growth, infertility, etc. I am at that crossroad in life where I need to do something major or I am going to end up with any number of medical conditions that run rampant in my family. My family are all big people with many of the worst medical issues one can endure. I am only 33 and I no longer have any grandparents. My parents and half sister have health issues related to obesity. I do not want to travel down that road. They put me in the super morbid obesity category today. That was a lot to take in. I do not feel "super morbid obese." I am active daily, I get around fine, I can walk a flight of stairs and not feel short of breath. But no matter how hard I try, I cannot lose the weight. It has been a real struggle. I do not have any underlying medical issues other than PCOS that contribute to my obesity. My doctors have been referring me for years to have surgery.
So here I am, ecstatic for this opportunity to change my life. I wish each of you the best of luck and look forward to reading about your journey and sharing our experiences.
