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.

Congratulations!!

I made weight in 2 months (16 pounds) and did my appointments in 4 months, I'm on the fast track.

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I still had to complete all 12 PT, 12 Nut, and 12 mental therapy appointments, there is absolutely no way around that.

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I haven't attended seminar or met the surgeon at UW yet...thats in a few weeks. Wondering which of the procedures they'll end up recommending for me

etc. Did anyone choose their own procedure or did the surgeon choose what he felt was best for you?

I Love being an RRT!

Saving Lives One Breath At A Time.

Edited September 16, 20169 yr by boogie_badd8nt_she

I sat down with the social worker and a couple nurses and we discussed the pros and cons of each procedure, then I made the decision from there. When tests come back and if everything looks good then I will be getting the RNY

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I sat down with the social worker and a couple nurses and we discussed the pros and cons of each procedure, then I made the decision from there. When tests come back and if everything looks good then I will be getting the RNY

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I definitely want RNY also.

I Love being an RRT!

Saving Lives One Breath At A Time.

So if you live n Spokane and have Molina Ins. What is stage 1 and stage 2? I have been approved for 1&2

So if you live n Spokane and have Molina Ins. What is stage 1 and stage 2? I have been approved for 1&2

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.

Thanx guess m on the way

On 1/11/2016 at 10:14 PM, Bethany Copley said:

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.

SURPRISE SURPRISE!! I completed everything or so I was told. Today I received a phone call saying I needed to complete 12 physical therapy visits. I'm pissed! Do these have to be done within a certain time? Here I thought I was ready for scheduling after asking if there was anything else I needed to do long ago & was told no. My insurance is Molina. Anything else I should know? SURPRISE SURPRISE!!!

I scheduled for as many as my physical therapist would let me. usually that was 2 a week sometimes one a week

I just got approved for my surgery which will be done June 9 so I'm pretty stoked. I also had to do the requirements of Molina which took me about six months

SURPRISE SURPRISE!! I completed everything or so I was told. Today I received a phone call saying I needed to complete 12 physical therapy visits. I'm pissed! Do these have to be done within a certain time? Here I thought I was ready for scheduling after asking if there was anything else I needed to do long ago & was told no. My insurance is Molina. Anything else I should know? SURPRISE SURPRISE!!!

So I just completed all of Molinas requirements and then I was scheduled for the (4/19/17) Seminar at Rockwood, the next day I met with Dr. Bright, the surgeon. They also have some requirements such as EKG, labs, and the psych Evaluation and any other tests that will seem relevant to you specifically. You'll also need to have a nutrition consult with the nutritionist at the hospital. Once those things are all completed and they have all of the results, your file is given to the Surgeon who will then decide if you are a candidate for WLS. If he agrees to proceed then you will go on to the next step, which is Rockwood obtaining pre-authorization from insurance. Once they have the okay from insurance they will call you to schedule and youll finally have a date!!

I only know all of this because I am in the middle of it all. My nutrition consult is June 2nd. I scheduled far out, so I can work on all the presurgical testing and have everything done by that date, so that I can move on to the next step faster! Good luck, it's quite the journey and takes a toll on ones patience at times! But it will all be worth it in the end! Rockwood is great and they move you along as fast as possible!

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On 4/27/2017 at 3:50 PM, SEAHAWKS FAN! said:

SURPRISE SURPRISE!! I completed everything or so I was told. Today I received a phone call saying I needed to complete 12 physical therapy visits. I'm pissed! Do these have to be done within a certain time? Here I thought I was ready for scheduling after asking if there was anything else I needed to do long ago & was told no. My insurance is Molina. Anything else I should know? SURPRISE SURPRISE!!!

I had to do mine within 6 mo. I was scheduled every 2 weeks, and I had my last appointment past the 6 mo, my insurance had to add an extension or i would of had to start the entire process over. call your insurance to see the time limit and ask for an extension if needed.

I was approved without it my surgery is May 30th.