boogie_badd8nt_she

I'm glad you asked this.. I'm a RT and was wondering the same..all I think of is how I would be no help should there be a code??? Transport?? Or perhaps a patient needs repositioning something etc. ?!! Many things previously mentioned.. Sent from my SM-G900T using the BariatricPal App

I'm hoping for June 2017. I'm off in the Summer, and i want to be sure I have LOTS of recovery time Sent from my SM-G930T using the BariatricPal App Are you a teacher/professor? Or working for a school district? Asking bc you said you are off all summer.. You have a bit of time ahead of you as well. Have decided on which of the procedure you want? I'm still on the fence.. one day sleeve another bypass. Smh probably decide once I meet with the surgeon.. Sent from my SM-G900T using the BariatricPal App

Thank you very much..!!! I am happy that's they approved me.. just taking it one day at a time. I got this! Sent from my SM-G900T using the BariatricPal App And good luck you as well!!! Sent from my SM-G900T using the BariatricPal App

Yes totally!!! 2017 is knocking at the door!! Well, the Fall in general... I don't understand these weeks anymore. I don't recall time going this fast when I was smaller? Seemed like it took forever to even get a birthday! lol Sent from my SM-G900T using the BariatricPal App Wow! You have plenty of time.. are you self pay,@@julsfit? Sent from my SM-G900T using the BariatricPal App

I can only imagine how fast it will go.. smh! Congrats hunn you don't have much longer to go!!!! November will be here before you know it! I can't believe I will be dieting during holiday season.. The ultimate test. lol Sent from my SM-G900T using the BariatricPal App

I was just approved to start the Stage II Molina Bariatric Surgery Program(Apple Health) last week! (8/11) First NUT appointment is today and I'm already overwhelmed by all the criteria. Lol I'm so nervous because I soooo don't want to screw this opportunity up. I'm constantly thinking of how many times I've let myself down doing other things. I already know that I won't have the money to afford this in the future, so I better cut the crap right now.. lol Argh! My nerves.. so anxious.. Anyone starting their journey now and looking at Spring 2017 surgery date (If all goes well) ? Sent from my SM-G900T using the BariatricPal App

Evergreen State. New journey..Approved for Stage 2 on 08/12/16.. surgery hopefully Spring of 17. Sent from my SM-G900T using the BariatricPal App

#facts! ! I wish I looked like that now!! Lol Sent from my SM-G900T using the BariatricPal App

You look great before girl!!!!!! You will be happier and healthier after of course... just saying though!! You are currently slaying lol Sent from my SM-G900T using the BariatricPal App

So did you get approved??? Sent from my SM-G900T using the BariatricPal App

Hey! Just coming by to see how you are doing,hunn!!!!! Sent from my SM-G900T using the BariatricPal App

Hi!!! Here you go! A. The beneficiary must be between 18 and 65 years of age. B. The beneficiary has a documented body-mass index >35 and has at least one co- morbidity related to obesity. C. The beneficiary must be free of endocrine disease as supported by an endocrine study consisting of a T3, T4, blood sugar and a 17-Keto Steroid or Plasma Cortisol. D. Under the supervision of a physician, the beneficiary has made at least one documented attempt to lose weight in the past. The medically supervised weight loss attempt(s) as defined above must have been at least six months in duration. E. Medical and psychiatric contraindications to the surgical procedure have been ruled out (and referrals made as necessary) 1. A complete history and physical, documenting the beneficiaries: a. Height, Weight, and BMI; b. The exclusion or diagnosis of genetic or syndromic obesity, such as Prader-Willi Syndrome 2. A psychiatric evaluation no more than three months prior to requesting authorization. The evaluation should address the following: a. Ability to provide, without coercion, informed consent; b. Family and social support; c. Patient ability to comply with the postoperative care plan and identify potential psychiatric contraindications. Sent from my SM-G900T using the BariatricPal App

I have to say that this is not always true for all managed care programs. I have Caresource in Ohio. Ohio Medicaid requires 6 months of doctor supervised diet, and comorbidities if your BMI is below 40. Caresource, however, requires 9 months of supervised diet, and will only approve you with no comorbidities if your BMI is over 50. BMI 45-50 requires one comorbidity, 35-45 requires two or more. The bottom line is that your Managed Care Plan dictates what you are required to do, and that it is always a good idea to get those requirements in writing if at all possible. Understood completely, thanks for input on this... I'm sure will help some people understand this more Sent from my SM-G900T using the BariatricPal App

Hahahaha I can imagine... keep me updated blow by blow! !! Congrats again,K! ???????????????????????? Sent from my SM-G900T using the BariatricPal App

This is a solid explanation. thanks!!! U appreciate you both for your input.. I feel a lot better about pursuing this now! !! Sent from my SM-G900T using the BariatricPal App

Holy cow! !!! Congratulations! !!! ARE YOU NERVOUS? !?! I have butterflies for you !!!!!!!!???????????????? Sent from my SM-G900T using the BariatricPal App

I appreciate it. I had been thinking about getting the sleeve for years, but unfortunately I lived in Arkansas and I didnt meet requirements. I'm actually in Tacoma area. I have Molina-Apple Health and trying to get a feel of what it does and doesn't cover. I did the 6 mos. Diet, Psych eval, TSH..you name it. (back in AR ) found out a simple BMI of 40 wasn't enough no comorbidities. I was devastated because it was time consuming and lack of navigation from the surgeons office. I'm awaiting my appt. currently to pitch the idea to my new PCP here in WA. I will obviously have to go through the UW-CENTER of Excellence ????. What did you need to be approved? Any other health conditions? They require years of proof of obesity?( 5 years ) I appreciate you reaching out..there aren't many with our insurance on here that I can find. So thanks.. !!!! Sent from my SM-G900T using the BariatricPal App

Or did mean a case worker at the surgeons office? Sent from my SM-G900T using the BariatricPal App

Ohhh okay!! So my case worker is the person currently assigned to me...?, or do you get a different case worker specifically for weight management cases or approval? Apologies,..I'm just beginning the process. Thank you for your input. I appreciate it! Sent from my SM-G900T using the BariatricPal App

I'm surprised they told me!!! Because everyone usually just says "Go to your PCP, they can offer you the information" ... yeah I know but what if my PCP sucks! Haha Sent from my SM-G900T using the BariatricPal App

There's a letter sent from the hospital that's I'm planning on going to stating the requirements by state law. And it says 35 with top 4 Co Morbid or rare comorbid. But when I call Molina they say there are three ways to get approved. BMI 40,BMI 35 with comorbidities,or 30-34 with DM II or metabolic syndrome. The only way to understand i guess is to just allow the process and cut out the guess work.. I hate doing stuff for nothing. Ya know? Sent from my SM-G900T using the BariatricPal App

It's really confusing when I'm told that the requirements are straight forward and i should be fine And then you witness people getting denied and constantly shaking in their boots.. thanks ladybug! Sent from my SM-G900T using the BariatricPal App

Maybe someone here can help me understand why the company who's managing my care(Molina) has different approval requirements than what medicaid is asking to qualify? Medicaid (According to Law),is saying 35 with Co Morbid and Molina says all I need is BMI of 40 (which I have). Anyone understand this??? I've talked to them but no explains it in a way I understand. Is it Molina who's making the decision..is it medicaid? Lol Anyone approved through Apple Health Molina with No comorbidities? Or any insight would be great. I'm confused as h***! Sent from my SM-G900T using the BariatricPal App

Update: I'm using Molina BTW I've heard conflicting info from everyone about what Molina WILL cover. I called Rockwood in Spokane and the representative said that with Molina, all you need is an BMI of 40.. that's enough. She explained that they do not take plain ole' medicaid..only Molina medicaid. So, unconvinced, I called Apple Health Molina and was actually told by a representative there (including the Lead Rep) That there is 3 different ways to get approved. A. BMI of 40 or over 100kg Or B. BMI of 35 or higher with one or more comorbidities. Arthritis sleep Apnea High Blood Pressure High Cholesterol Type 2 Diabetes Venous Stasis Disease (Collection of Blood in the Lower Limbs) Congestive Heart Failure Fatty Liver Syndrome Gall Bladder Disease Depression Stroke or Stroke Risk GERD (Acid Reflux Disease) Or C. BMI 30-35 with DM II or metabolic syndrome. I asked the representative if I could have the bariatric program requirements in a file or letter.. she says that it couldn't be given to me as its used for them to review each case..and that I could obtain it through my PCP. That was the first time I heard of three ways to get approved for stage 1. Thought I'd share! Sent from my SM-G900T using the BariatricPal App

Any of you ladies know if you HAVE to have at least one comorbidity with Medicaid Molina? I spoke to a representative at Rockwood and she says you donot... I'm wondering if she thought I had regular Molina.. Sent from my SM-G900T using the BariatricPal App