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Molina Insurance problem



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I have Molina Insurance. They told me I needed to go to 3 visits of each, physical therapy, Counseling and dietician.

I fulfilled thier request and did 12 of each. My counselor thought I needed ongoing Counseling so Molina approved more Counseling visits.

But, when it came to the dietician, they wouldn't approve any more visits.

It is frustrating to come this far and have this happen. I am going to need to meet with the dietician before and after surgery.

I remember my Molina case worker telling me she could probley get an extension, but it looks like that's not happening.

Anyone else having a problem with Molina?

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Before even me going into with Molina about bariatric surgery, I actually had an idea of what the insurance entailed and what I had to do, as a matter of fact I told the referral coordinator how to do the process, let me tell you I was well prepared. The day of referral I started dieting and exercising so I was a head of my self, so like a week later I get a call from the Molina case manager and there it began, she was amazed how much I knew, and where I was going for physical therapy and nutrition counseling, I scheduled my visits, I was approved for 12 visits in nutrition, physical therapy, and behavioral counseling. I only did 6 visits with nutrition and the other 6 will be with the surgeon, so I'm at the end of the rope, I have my surgery date, now just waiting for approval. I completed all visits but 6 for the nutritional counselor. They will only approve 12 visits for each. The problem only problem I had thus far was that the counselor I was seeing did not want to clear me for surgery so I waited two weeks for that process. It can get frustrating, but it's well worth the wait.

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I see a counselor every week. A dietician every other. Physical therapy 2 times a week starting oct 19th due to them being booked. my pcp once a month.

12 diet

12 counselor but will have more

12 pt

6 pcp

UW program. all their test and appts

I can & I will

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I am in Spokane too. I still need to see my dietician. I used up my 12 visits though for meeting with my dietician. I went through a few before I ended up with a Rockwood dietician, who I should of saw to begin with. I haven't had surgery yet and need to meet with her, the dietician after surgery.

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The appointment requirements with Molina are crazy! I don't have them, but my best friend who just started the process as well does. She is feeling really discouraged right now as she is also trying to get a job. How in the world will she be able to juggle all these appointments with a new job?! I feel so bad for her :(

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That's funny that u mention that dancielady, about a job. I stay home and am ready to go back to work, but I have managed to wait until I get my surgery and wait a few months after to go back to work. I am gonna wait becuz health is first. Tell your friend to just hang in there.

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So when is your surgery northstar?

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I am not sure when my surgery is. I still have to get the sleep study done and be cleared by the heart doctor. They are going to do a stress test and some other test. The heart doctor seemed to think there was something going on with the left venticular. Heart could be enlarged. He says he sees that a lot in his over weight patients. I am hoping weight loss surgery helps this problem

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So after surgery they wont approve any more dietician appts?

I can & I will

Right. It's weird because they approved more Counseling appointments

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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