medi-cal question

Where can you find information on what medi-cal will/will not cover? My cousin is morbidly obese (like 500lbs) and her doctor told her she qualified for the weight loss surgery. She has medi-cal, so her doctor isnt 100% sure if the surgery is covered and submitted a claim to find out, but she wanted to know if there was somewhere she could check to find the information for herself. I told her to check the medi-cal website but she said there wasnt anything there that listed what it covers, so idk if shes just looking in the wrong place or where she could look to find some information.

She'd have to call her social worker.

She should call, but I doubt it's covered.

Enter insurance name, state name, explanation of benefits.

Quoting ILOVEWINE:" She should call, but I doubt it's covered."

yeah I doubt it is but her doctor keeps telling her it "probably" is because shes so overweight its a medical necessity for her to lose the weight.

it doesnt exclude it per se.. but theres alot of steps and lots of paperwork from the drs and finding one that will accept medi-xal to do it

Quoting ♥Jada:" Enter insurance name, state name, explanation of benefits."

into google or into the medi-cal website?

Yes they will but there are quite a few hoops to jump through. Basically it has to be considered life saving surgery.

Into google. If the medi-cal website, just search for explanation of benefits

Quoting Jennybananna:" Yes they will but there are quite a few hoops to jump through. Basically it has to be considered life saving surgery. "

ok that makes sense.

At one time medi-cal stopped paying for it. To many people would gain that extra 20 pounds on purpose to get the surgery done. Now they might have went back to doing it. Last time I checked they wouldnt pay for it anymore