Fhionafaye

I was able to get through the 1st stage. I've spoken to the clinic in Portland. OWL. They told me they are just now processing the paperwork and we will get the ball rolling soon on making appointments for the second stage. I completed the online seminar and filled out the application PDF. My Dietician MD sent out the referral and she, the weight loss clinic, and Molina have all said that the first stage is complete. I was given CPT codes by the clinic for bypass and the sleeve. Molina confirmed that they will cover both if I meet the requirements. I was told that I may be able to do a sleep study at home and mail it back in. So that is definitely one less worry. Here is a current list of requirements for pre-surgery/surgery. I haven't been able to find may people that have information about going through this insurance recently. All I could find was two dead posts asking if anyone knew anything about Molina in Washington. Both did not have a reply. My worries are that I'll have to drive to Portland 12 times minimum for only some of the visits over the next 6 months. Along with all of the other requirements like seeing a sleep specialist, psychological evaluation, etc. This is only a problem because I live an hour and a half away. I'm worried that may not let me see someone locally for some or all of these things. Does it really have to be 6 months, can it be less? I know you can get an extension. I'm also sure it would be hard to cram in several visits in a short time. I still wonder if there is any sort of legal loophole any other clinics may use? Anything like less time or fewer visits. I live in a rural area and between my husband's health, work, time and financial constraints, I'm starting to wonder If I need to wait. Healthwise my HBP is getting worse and isn't responding well to diet or medication. We have small children and he has extreme exhaustion from having SCA 5 years ago. I'm not sure I'll be able to make it to visits that are 1 1/2 hours away. Is there truly no way to fast track something like this if the Insurance has such detailed and extensive protocols? Would none of the information I have from dietitians over the last few years count? Does it all have to be new information? Health Information: 315lb, 5'5, HBP, PCOS, Social Anxiety, Joint Pain, Lower Back Pain without Sciatica, Postpartum Hernia. I'm not sure if all of these details were only needed for the first stage of authorization. Has anyone been able to speed up the process? (Probably Wishful thinking.) Thank you to anyone that took the time to read this and anyone that may have answers or advice for me. -Fhionafaye

My OB/GYN thinks that I have had PCOS since I was a teen/puberty. I have 4 children. This isn't me trying to boast. I'm currently on Mirena. All of the times I got pregnant I was on the mini pill. Progestin-only no other hormone. I've only conceived between these weights. 230lb to 270lb. I'm not sure how uncommon it is for that to balance someone out. During blood work, Progesterone and Vitamin D are the only levels that ever showed up alarmingly low for me. So my OB/GYN recommended Mirena instead to make sure I don't have an accidental pregnancy or trouble with continuous bleeding and sporadic periods. I feel slightly embarrassed and erroneous saying I'm technically infertile. Without the mini pill, I likely wouldn't have been able to have children. I wonder if seeing an endocrinologist specifically for fertility-related reasons would help just to raise whatever is low. I was also on 500mg of Metformin with my last baby so that may have also been at work with the progestin. I hope I'm not being offensive to you or your OB/GYN. Maybe I was just a rare case that isn't similar to most PCOS hormone imbalances. So this wouldn't be helpful at all. I just thought it might be worth a shot later on. I'm only done with the first stage of my insurance for Weight Loss Surgery. I don't have a surgery date yet. I was just told by the weight loss clinic that my file was processing this last week and I'd hear back in 2-6 weeks. I hope everything goes well for you and the weight loss is enough to right everything naturally and that you find something to prevent it in the meantime if that's what you are trying to do. ❤️