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Yes, Caresource in Ohio will cover lap band surgery, but there are criteria that have to be met first. Your primary care doctor will have to submit an authorization request and a letter stating that there is medical necessity for the surgery. You have to be over 21 years of age with a BMI that shows need for surgery (35+).
You will also have to submit documentation of 9 months of physician assisted/documented diet within the past 24 months, as well as show that there are comorbidities that prove the need for the surgery (other conditions that are caused or affected negatively by your weight, like Diabetes, sleep apnea, etc.) You will also be required to have a psychological evaluation.
In most cases, the bariatric surgeon you choose can help you with your requirements, like setting you up with a psychiatrist/psychologist and providing you with the documented diet. You can find a list of bariatric doctors who are Caresource approved on their website, through the "find a doctor" option. Bariatric surgeons are included in the "general surgery" category.
Your first step should be discussing this with your primary care doctor.
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Does Medicaid cover massages in Ohio?
"Medicaid does not reimburse massage or heat treatments."
Does Medicaid cover abortions in Ohio?
Ohio Medicaid will most likely cover this procedure as long as your doctor presents it as a necessity. They will deny the coverage if they see it as an elective procedure.
What does the website Caresource offer?
Caresource is an organization that aims to provide better healthcare to those in need. They are based in Ohio. Their website offers more information about their organization and the providers that work in tandem with Caresource.
What suboxone doctors take care source in Ohio?
what suboxone doctors in Dayton ohio accept caresource
Does Anthem Blue Cross in Ohio cover lap band surgery?
This does not generally cover lap band surgery. This is not a medically necessary surgery so it is not covered.
Where is CareSource headquartered?
CareSource is a non profit health care management plan that is headquartered in Dayton, Ohio. One would be able to find more information regarding this organization on their official website.
How to apply for medicaid in ohio?
You will need to apply at your local departmental of Health and Human services for medicaid in Ohio.
Does Ohio Medicaid cover extractions and dentures?
Yes, if you are covered by Medicaid in Ohio you can have your extractions covered. Dentures are covered once every 8 years but are not of the highest quality. You do not get to pick which type of denture you get. But, simply yes, if you have Medicaid these procedures are covered. The dentists that accept Medicaid, especially for adults are very limited though, so you have to call around and then look for reviews on the dentist! Good luck!
Are Medicaid laws different in each county in Ohio?
I'm not familiar with Ohio Medicaid. However, in general, Federal regulations require that the State's Medicaid program must be the same throughout that state.
Does Pennsylvania Medicaid cover gastric bypass revision?
YES ILLINOIS medicaid does cover gastric bypass surgery.. I have IL medicaid and had my surghery in nov 2008 i have lost 100pds... do a Google search on DR ayloo shes in Chicago Il, she is on Taylor st.. univ. of IL medical center.. call 312-413-0717 talk with mellisa Murphy if you don't get her leave a message.
How do you get a Medicaid provider number?
Contact the provider services section of your State's Medicaid agency.
What will Medicaid not pay for?
All sorts of things, which vary somewhat among the States - e.g., experimental care, care that's not medically necessarily to treat a condition or disease, etc. You really need to ask the question as what will "you state" Medicaid not pay for? Like what will Ohio Medicaid not pay for? It can vary by state and changes all the time. Ohio uses medicaid managed care providers you get to choose from but switched so that they still use those but use direct medicaid for prescriptions. They also stopped paying for certain medications and limited amounts of certain medications. certain dental is no longer covered compared to years ago etc... You need to ask for your State. You can look up your Job and family Services website for your state to get some information and numbers to call as well. If you are enrolled in Medicaid and have a managed care provider like Molina Healthcare, Caresource, etc. then if they haven't already ask them to mail you a handbook.
