Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

Share this post


Link to post
Share on other sites

I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

That is typical, I had to call into Molina and ask who my case worker was and ask them to have her call me. She never did call, so I called back and they gave me a new case worker and that person has only called me once.

She scheduled to call me again this month, but missed the date. I will call and leave her another message to call me. It seems as if the case workers workload is so big, that they're overwhelmed and they are extremely hard to reach.

I would suggest calling Molina and getting that sorted out.

Sent from my SM-G935T using the BariatricPal App

Share this post


Link to post
Share on other sites

Oh boy.. I just read. lol Hopefully my experience is positive. I've learned a lot about myself these past 2-3 mos. for sure.. I have no shame in admitting that I initially went into this journey sooooo misinformed. I have a new respect for the procedure as well as post-ops. So I'm definitely taking all my education in...failure isn't a option! Its time for greatness!! Just gonna stay busy and prepare.. that's all we can do! Our season is coming.. ;)

I

Hey everyone I'm excited to back on this journey again. I had started the process last year in California but ended up moving to Washington state. Now I have a 6 month pre op diet to follow and I'm about half way done. I will be having my surgery at the UW in Seattle and I have UHC. Anyone else in WA having surgery around that time?





Sent from my iPhone using the BariatricPal App

HI!! I'm also boogie_badd8nt_she on here. lol

I started my journey in August!! I'm fast tracking.. doing 3 appts a week.. so exhausting!!!! I will be done with almost all requirements the end of this month.( Accept the UW requirements) I was asked by my bariatric case manager ( w/ Molina) to save a few NUT appt.until I'm closer surgery to serve as a little "insurance" in case I stall while fulfilling UWs list of things to do..This Thursday I will be meeting Kim Herzog.. lol
What happens during the meeting with her? Any testing?
I'm hoping to be nice and ready for surgery soon.. its crazy to know they are booked out so far!!! Good Luck ladies! Looks like we will all be getting worked on around the same time!!! <3
Hey girl! Congrats on your journey, we're all on our way to a healthier life! So exciting! The appointments do get tiring! If you went back a bit further in this thread you'll be able to read about some experiences with Kim Herzog. She isn't nice lol. I had to stay calm cool and collected with her, knowing that she decides whether or not I will move on to the next step.

She will basically ask you a ton of questions. Health history, current diet and exercise routines, why you want the surgery, which procedure you'd like to go with and why. She will ask you why your at the weight you're at. Just be prepared to be judged lol. It wasn't fun. I do hope that your visit goes better than mine did.

I also have Molina, I will be finished with all of my insurance requirements at the end of this month. So I'm hoping for a date in the beginning of the year. They did tell me that they're booked out quite far. I've learned more than I thought I would these last few months. Im kind of glad that they don't just let you jump into things. Being prepared and educated is going to set us up for success!!

Good luck with everything.

-Melissa in Vancouver

Sent from my SM-G935T using the BariatricPal App

Share this post


Link to post
Share on other sites

I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

That is typical, I had to call into Molina and ask who my case worker was and ask them to have her call me. She never did call, so I called back and they gave me a new case worker and that person has only called me once.

She scheduled to call me again this month, but missed the date. I will call and leave her another message to call me. It seems as if the case workers workload is so big, that they're overwhelmed and they are extremely hard to reach.

I would suggest calling Molina and getting that sorted out.

Sent from my SM-G935T using the BariatricPal App

Thank you. I will definitely do that. I know they are extremely hard to get a hold of.

I can & I will

Share this post


Link to post
Share on other sites

I spoke to Jennifer White.. she set up an appt. for me to talk to someone about entering a follow up type deal. Maybe that's a start for you when you call member services.

I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

That is typical, I had to call into Molina and ask who my case worker was and ask them to have her call me. She never did call, so I called back and they gave me a new case worker and that person has only called me once.

She scheduled to call me again this month, but missed the date. I will call and leave her another message to call me. It seems as if the case workers workload is so big, that they're overwhelmed and they are extremely hard to reach.

I would suggest calling Molina and getting that sorted out.

Sent from my SM-G935T using the BariatricPal App
Thank you. I will definitely do that. I know they are extremely hard to get a hold of.

I can & I will

I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

Share this post


Link to post
Share on other sites

I spoke to Jennifer White.. she set up an appt. for me to talk to someone about entering a follow up type deal. Maybe that's a start for you when you call member services.

I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

That is typical, I had to call into Molina and ask who my case worker was and ask them to have her call me. She never did call, so I called back and they gave me a new case worker and that person has only called me once.

She scheduled to call me again this month, but missed the date. I will call and leave her another message to call me. It seems as if the case workers workload is so big, that they're overwhelmed and they are extremely hard to reach.

I would suggest calling Molina and getting that sorted out.

Sent from my SM-G935T using the BariatricPal App

Thank you. I will definitely do that. I know they are extremely hard to get a hold of.

I can & I will

I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

I also spoke to Jennifer White and she scheduled me with someone, but they never called.

Share this post


Link to post
Share on other sites

Same thing happened to me.. I left her a message and Carmen Rightmiyer called me.. shes a pleasant women..totally.. she apologized for not calling as I wasn't on the schedule for some reason and it was good. I try to be mindful of how many bariatric cases they are working on.. it has to be a ignorant amount. ya know. So its good to just follow up and be proactive as hell. They appreciate it also. <3

I spoke to Jennifer White.. she set up an appt. for me to talk to someone about entering a follow up type deal. Maybe that's a start for you when you call member services.

I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

That is typical, I had to call into Molina and ask who my case worker was and ask them to have her call me. She never did call, so I called back and they gave me a new case worker and that person has only called me once.

She scheduled to call me again this month, but missed the date. I will call and leave her another message to call me. It seems as if the case workers workload is so big, that they're overwhelmed and they are extremely hard to reach.

I would suggest calling Molina and getting that sorted out.

Sent from my SM-G935T using the BariatricPal App
Thank you. I will definitely do that. I know they are extremely hard to get a hold of.

I can & I will

>I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

lockquote>
I also spoke to Jennifer White and she scheduled me with someone, but they never called.

Share this post


Link to post
Share on other sites

Same thing happened to me.. I left her a message and Carmen Rightmiyer called me.. shes a pleasant women..totally.. she apologized for not calling as I wasn't on the schedule for some reason and it was good. I try to be mindful of how many bariatric cases they are working on.. it has to be a ignorant amount. ya know. So its good to just follow up and be proactive as hell. They appreciate it also. <3

I spoke to Jennifer White.. she set up an appt. for me to talk to someone about entering a follow up type deal. Maybe that's a start for you when you call member services.

I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I will

That is typical, I had to call into Molina and ask who my case worker was and ask them to have her call me. She never did call, so I called back and they gave me a new case worker and that person has only called me once.

She scheduled to call me again this month, but missed the date. I will call and leave her another message to call me. It seems as if the case workers workload is so big, that they're overwhelmed and they are extremely hard to reach.

I would suggest calling Molina and getting that sorted out.

Sent from my SM-G935T using the BariatricPal App

Thank you. I will definitely do that. I know they are extremely hard to get a hold of.

I can & I will

>I do have a question for you guys though, I have not received monthly calls from a case manager at Molina. I've only talked to someone there 3 times about my stage two letter who works in the bariatric department and she told me I would hear from someone soon, but I never got a call. I know it's a requirement, but I thought it would be nice to still talk to someone to make sure that I'm doing everything right.

I can & I willlockquote>

I also spoke to Jennifer White and she scheduled me with someone, but they never called.

I will definitely call tomorrow and leave a message. I know they definitely are spread pretty thin with the caseload they have. It's frustrating for us and I'm sure it's frustrating for them as well.

I can & I will

Share this post


Link to post
Share on other sites

I am on Medicaid, my medical insurance offers a great preoperative program, it's 6 months and requires 12 appointments with a dietitian, 12 with a behavioral health therapist, and 12 with a physical therapist. I also have to see my PCP 6 times and lose 5% of my body weight. UW might have their own set of requirements, but my Medicaid insurance has prepared me pretty well. There is absolutely no fast tracking to have surgery, however participants may complete their appointments as they wish.

I must say, I've been well educated over the past few months, so no, you're wrong. It's not sad at all, I believe if you choose to have an elective surgery, you must also be willing to make changes and it is a patients responsibility to educate themselves if they choose to have bariatric surgery.

Sent from my SM-G935T using the BariatricPal App

I completely agree with you. I'm in the same program you are. I got told flat out there is no fast tracking. You have to wait the 6 months and keep the weight off and do all your appointments with UW and your Molina/Medicaid required appointments.

I can & I will

thanks for the post. It's good to know that Medicade is making changes or maybe it's just I AM that is offering the same services to all Bariatric patients. Is the pre surgery at loss an insurance requirement? I thought my program uses the same protocol as WUM but the program doesn't h ave a pre surgery weight loss requirement. The NIH study showed that there was no long term benefit so now the surgeons just do the 2 week surgery prep diet.

Share this post


Link to post
Share on other sites

I am on Medicaid, my medical insurance offers a great preoperative program, it's 6 months and requires 12 appointments with a dietitian, 12 with a behavioral health therapist, and 12 with a physical therapist. I also have to see my PCP 6 times and lose 5% of my body weight. UW might have their own set of requirements, but my Medicaid insurance has prepared me pretty well. There is absolutely no fast tracking to have surgery, however participants may complete their appointments as they wish.

I must say, I've been well educated over the past few months, so no, you're wrong. It's not sad at all, I believe if you choose to have an elective surgery, you must also be willing to make changes and it is a patients responsibility to educate themselves if they choose to have bariatric surgery.

Sent from my SM-G935T using the BariatricPal App

I completely agree with you. I'm in the same program you are. I got told flat out there is no fast tracking. You have to wait the 6 months and keep the weight off and do all your appointments with UW and your Molina/Medicaid required appointments.

I can & I will

thanks for the post. It's good to know that Medicade is making changes or maybe it's just I AM that is offering the same services to all Bariatric patients. Is the pre surgery at loss an insurance requirement? I thought my program uses the same protocol as WUM but the program doesn't h ave a pre surgery weight loss requirement. The NIH study showed that there was no long term benefit so now the surgeons just do the 2 week surgery prep diet.

You don't even make any sense. If you want to know about Molinas 6 month requirements you can call them directly. They might be able to help you, seems how I can't understand what you wrote.

Sent from my SM-G935T using the BariatricPal App

Share this post


Link to post
Share on other sites

I am on Medicaid, my medical insurance offers a great preoperative program, it's 6 months and requires 12 appointments with a dietitian, 12 with a behavioral health therapist, and 12 with a physical therapist. I also have to see my PCP 6 times and lose 5% of my body weight. UW might have their own set of requirements, but my Medicaid insurance has prepared me pretty well. There is absolutely no fast tracking to have surgery, however participants may complete their appointments as they wish.

I must say, I've been well educated over the past few months, so no, you're wrong. It's not sad at all, I believe if you choose to have an elective surgery, you must also be willing to make changes and it is a patients responsibility to educate themselves if they choose to have bariatric surgery.

Sent from my SM-G935T using the BariatricPal App

I completely agree with you. I'm in the same program you are. I got told flat out there is no fast tracking. You have to wait the 6 months and keep the weight off and do all your appointments with UW and your Molina/Medicaid required appointments.

I can & I will

thanks for the post. It's good to know that Medicade is making changes or maybe it's just I AM that is offering the same services to all Bariatric patients. Is the pre surgery at loss an insurance requirement? I thought my program uses the same protocol as WUM but the program doesn't h ave a pre surgery weight loss requirement. The NIH study showed that there was no long term benefit so now the surgeons just do the 2 week surgery prep diet.

You don't even make any sense. If you want to know about Molinas 6 month requirements you can call them directly. They might be able to help you, seems how I can't understand what you wrote.

Sent from my SM-G935T using the BariatricPal App

Huh? I have no clue what that says.

I can & I will

Share this post


Link to post
Share on other sites

I have Molina and had my surgery through UW 7/27/16. I had a very good experience with them and with the surgery.

HW - 283

SW- 238

CW- ?

Share this post


Link to post
Share on other sites

I have Molina and had my surgery through UW 7/27/16. I had a very good experience with them and with the surgery.

HW - 283

SW- 238

CW- ?

Comgrats! If you dont mind me asking. How long did it take for Molina to approve the surgery after your requirements were done and when it was approved how long did it take to get a surgery date?

I can & I will

Share this post


Link to post
Share on other sites

Once UW sent the request for approval, it was approved in under a week.

I had surgery about 6 weeks later (first available on the schedule)

HW - 283

SW- 238

CW- ?

Share this post


Link to post
Share on other sites

I started at UW in February, testing in march, had to wait 3 months for h pylori treatment, then submitted in June, surgery July 27.

HW - 283

SW- 238

CW- ?

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Clueless_girl

      Well recovering from gallbladder removal was a lot like recovering from the modified duodenal switch surgery, twice in 4 months yay 🥳😭. I'm having to battle cravings for everything i shouldn't have, on top of trying to figure out what happens after i eat something. Sigh, let me fast forward a couple of months when everyday isn't a constant battle and i can function like a normal person again! 😞
      · 0 replies
      1. This update has no replies.
    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×