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Fingerscrossed2112

Pre Op
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Everything posted by Fingerscrossed2112

  1. Fingerscrossed2112

    Just starting out

    Hello, I’m just starting the process I have an appointment next week to start stage one of Molina Washington state requirements. I’m nervous because my BMI is over 40 which is on the list for being approved but I don’t have any comorbidities. Does any have any experience being approved with just a bmi over 40?
  2. Fingerscrossed2112

    Just starting out

    Must meet one of the following three criteria: 1. Must have a minimum body mass index (BMI) of > 30 with a diagnosis of Diabetes Mellitus. 2. Must have a BMI of > 35-39 and must have at least one of the following conditions: a. Degenerative joint disease of major weight bearing joint(s). The member must be a candidate for joint replacement surgery if weight loss is achieved. b. Other rare chronic conditions (for example, pseudo tumor cerebri) in which there is medical evidence that bariatric surgery is medically necessary and that the benefits of bariatric surgery outweigh the risk of surgical mortality. 3. Must have a minimum BMI of > 40 Here is their wording. I’m obviously number 3 I’m just worried it’s a case by case basis and they won’t approve me.

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