Bethany Copley

ME TOO!!! girl...I got some good news for you! Imma message you.
**Wait lol I thought you were saying you were on Molina. i am on molina. This is was regular price list they gave me, in case Molina doesnt pay for it, which I am 100% covered, so im not worried

I was approved today to begin Stage 2 of Molina's bariatric program. I am a 5'5", 309 pound 35 year old female. My BMI is 50. I have one co-morbidity of high blood pressure, and a doctor who believes that WLS is medically necessary.
I also have fibromyalgia, but I do not believe they take that into consideration when it comes to medicaid.
My doctor referred me to the required orientation for Dec. 16th, 2015. I was approved today, January 11th, 2016.
I have to complete these requirements by July 4th, 2016
12 dietician visits
12 physical therapy visits
bariatric psych eval ( or my last years records from my counselor)
EKG
I live in Clarkston, WA. My PCP Tamara Bruns (Nurse) got me into the program. I will be having surgery at Rockwood Surgical Group in Spokane, WA.

I was approved today to begin Stage 2 of Molina's bariatric program. I am a 5'5", 309 pound 35 year old female. My BMI is 50. I have one co-morbidity of high blood pressure, and a doctor who believes that WLS is medically necessary.
I also have fibromyalgia, but I do not believe they take that into consideration when it comes to medicaid.
My doctor referred me to the required orientation for Dec. 16th, 2015. I was approved today, January 11th, 2016.
I have to complete these requirements by July 4th, 2016
12 dietician visits
12 physical therapy visits
bariatric psych eval ( or my last years records from my counselor)
EKG
I live in Clarkston, WA. My PCP Tamara Bruns (Nurse) got me into the program. I will be having surgery at Rockwood Surgical Group in Spokane, WA.

Stage 1 is getting into program. Stage 2 is actively completing insurance goals, like losing g 5%, all of your doctor visits psych eval, testing etc.
Stage 3 is surgery approval which happens after you meet insurance requirements. It's when you get your surgery date.

Stage 1 is getting into program. Stage 2 is actively completing insurance goals, like losing g 5%, all of your doctor visits psych eval, testing etc.
Stage 3 is surgery approval which happens after you meet insurance requirements. It's when you get your surgery date.

I was approved today to begin Stage 2 of Molina's bariatric program. I am a 5'5", 309 pound 35 year old female. My BMI is 50. I have one co-morbidity of high blood pressure, and a doctor who believes that WLS is medically necessary.
I also have fibromyalgia, but I do not believe they take that into consideration when it comes to medicaid.
My doctor referred me to the required orientation for Dec. 16th, 2015. I was approved today, January 11th, 2016.
I have to complete these requirements by July 4th, 2016
12 dietician visits
12 physical therapy visits
bariatric psych eval ( or my last years records from my counselor)
EKG
I live in Clarkston, WA. My PCP Tamara Bruns (Nurse) got me into the program. I will be having surgery at Rockwood Surgical Group in Spokane, WA.

No, they dont. As long as you meet your 5% goal (5% of weight that was logged in approval, then you will be fine. You have to go to your doctors office to be weighed.
Get the EARLIEST appointments for weight checks. Go number 1 (and number 2 if you can) BEFORE weighing. Wear the LIGHTEST and LEAST amount of clothing. Always take off your shoes.
Minor weight fluctuations are normal, especially because of Water, stress, and even exercise.
Making all of your requirements, including your tests and 5% will trigger your Stage 3, which will get you a surgery date roughly two to 4 weeks out, depending on how much you weigh, and scheduling. During that time, you will be put on a 2 to 4 week liquid Protein diet.
I asked my PCP if she would prescribe me Phentermine during that time, and she thought that was a reasonable request, to keep me from being too miserable on it.

Congratulations!!

Did you knock out yours less than 6 months? I have yet to find many people who were fast tracked after completing half of their visits. I would love to do that..
I Love being an RRT!
Saving Lives One Breath At A Time.

No, they dont. As long as you meet your 5% goal (5% of weight that was logged in approval, then you will be fine. You have to go to your doctors office to be weighed.
Get the EARLIEST appointments for weight checks. Go number 1 (and number 2 if you can) BEFORE weighing. Wear the LIGHTEST and LEAST amount of clothing. Always take off your shoes.
Minor weight fluctuations are normal, especially because of Water, stress, and even exercise.
Making all of your requirements, including your tests and 5% will trigger your Stage 3, which will get you a surgery date roughly two to 4 weeks out, depending on how much you weigh, and scheduling. During that time, you will be put on a 2 to 4 week liquid Protein diet.
I asked my PCP if she would prescribe me Phentermine during that time, and she thought that was a reasonable request, to keep me from being too miserable on it.

Remember that when the Molina Bariatric nurse starts callin for monthly phone check ins, to be honest, but also positive, proactive, and realistic in expectations. They like that kinda thing.

OH BTW...Rockwood now has a plastic surgeon that can and will take Apple Health referrals...and if you have loose skin had any kind of rash, Rockwood will refer you two years after sleeve surgery!

I ended up being fast tracked for surgery, and had it at 4 months, instead of 6

I was approved today to begin Stage 2 of Molina's bariatric program. I am a 5'5", 309 pound 35 year old female. My BMI is 50. I have one co-morbidity of high blood pressure, and a doctor who believes that WLS is medically necessary.
I also have fibromyalgia, but I do not believe they take that into consideration when it comes to medicaid.
My doctor referred me to the required orientation for Dec. 16th, 2015. I was approved today, January 11th, 2016.
I have to complete these requirements by July 4th, 2016
12 dietician visits
12 physical therapy visits
bariatric psych eval ( or my last years records from my counselor)
EKG
I live in Clarkston, WA. My PCP Tamara Bruns (Nurse) got me into the program. I will be having surgery at Rockwood Surgical Group in Spokane, WA.

OH BTW...Rockwood now has a plastic surgeon that can and will take Apple Health referrals...and if you have loose skin had any kind of rash, Rockwood will refer you two years after sleeve surgery!

I'm on Molina and I should be done with my 36 total appointments in 6-8 weeks, I need to loose 16lbs then I'm good to go
Sent from my iPhone using the BariatricPal App

Kim, I went from approval to surgery in 3 months. At Rockwood in Spokane, they can fast track you as long as you have half of your 12 pt/NUT/counseling visits done and half of your 6 Dr. Visits done, your 5% lost, EKG and Psych Eval completed.

I was approved today to begin Stage 2 of Molina's bariatric program. I am a 5'5", 309 pound 35 year old female. My BMI is 50. I have one co-morbidity of high blood pressure, and a doctor who believes that WLS is medically necessary.
I also have fibromyalgia, but I do not believe they take that into consideration when it comes to medicaid.
My doctor referred me to the required orientation for Dec. 16th, 2015. I was approved today, January 11th, 2016.
I have to complete these requirements by July 4th, 2016
12 dietician visits
12 physical therapy visits
bariatric psych eval ( or my last years records from my counselor)
EKG
I live in Clarkston, WA. My PCP Tamara Bruns (Nurse) got me into the program. I will be having surgery at Rockwood Surgical Group in Spokane, WA.

Rockwood Weight Loss Surgery Center



This is the total cost (minus two night stay in Deaconess Medical Center) for sleeve/bypass/lapband.



They also require a bariatric psych eval (around $300), an EKG and labs. Some people might need more testing. These are not listed in cost, as you get them through PCP.



Cost for sleeve is just under $7000.

Kim, I went from approval to surgery in 3 months. At Rockwood in Spokane, they can fast track you as long as you have half of your 12 pt/NUT/counseling visits done and half of your 6 Dr. Visits done, your 5% lost, EKG and Psych Eval completed.

My doctor just sent in the stage 1 paperwork to start the process with Molina, I am 325 and 5'5 with sleep apnea and osteoarthritis, I'm hoping to get an approval to start stage 2 in a few weeks
Sent from my iPhone using the BariatricPal App

At the club, they do a 15 minute warm up, then focus on a part for the day (leg day/abs day, etc) for 15 minutes, then mitts. It would be cool to be able to do something at home.
I may have to get a jump rope and buy a bag.

At the club, they do a 15 minute warm up, then focus on a part for the day (leg day/abs day, etc) for 15 minutes, then mitts. It would be cool to be able to do something at home.
I may have to get a jump rope and buy a bag.

I actually just looked into my local womens boxing club. They dont spar, they do alot of mitt work. I kinda wish they did spar though.

I found out something interesting. Molina isnt allowed to tell you that its just completing the 12 visits of each *within* 6 months....not having to wait the six months while completing it.
My doctor says I can be fast tracked to surgery if I have all surgeon tests done, and complete 6 visits of each (nut/PT/counselor). I could have surgery done in 3 months if all things fall into place.