Molina Insurance problem

[northstar9148 82]

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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Why in the world won't your counselor approve you for surgery? That is crazy!!! Sounds like you have done a fantastic job so far, that's got to be frustrating!!!

You need a different counselor for sure. I am going to send you a private message, let me know if you get it, ok?

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[MissMellyMell 46]

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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Did you have surgery in Spokane? I'm going through the same process and was pretty proactive. I'm completing all Molinas requirements next week and going to the seminar and meeting my surgon, Dr. Bright on the 20th. I'm just curious how long it takes to get a date from them. I am also curious about further requirements from the Surgon.

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