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

Insurance Question - Switch



Recommended Posts

So here is the thing, my job covers my insurance (Regence Uniform Classic --- love it!), however, I had Molina before this. Currently, Regence requires me to have 6 months of nutrition visits with a (Nutritionist, Dietitian, PCP, whomever) that is once a month for 6 consecutive months within 2 years prior to surgery.

This is the thing, from August 2016 - February 2017 I had to call a Nutritionist at Molina once a week and they paid for me to do my weigh ins at Weight Watchers which i had to send them the results each week (I still have the booklet as well showing the weigh ins).

I plan to call Regence tomorrow, because technically... this surpasses what they are asking for. (Molina was once a week and Regence is asking for once a month, Molina was 7 calendar months whereas Regence only wants 6).

Anyone here do something like this before? Did your insurance accept it? (Since its technically what they are asking for...)

Share this post


Link to post
Share on other sites

Yes. My work switched insurance companies in September and I had 12 months of medical appointment plus psychological and a bunch of other stuff. The new insurance accepted everything and I had surgery in October. I don't think it matters which insurance you used before but rather did you meet your current insurances requirements. I was worried too but it was fine. Turn in everything and see what they say.

Sent from my SM-J327T using BariatricPal mobile app

Share this post


Link to post
Share on other sites

Awesome, that is excellent to hear!!

Sent from my SM-G955U using BariatricPal mobile app

Share this post


Link to post
Share on other sites

I am waiting to hear back on Monday. The Molina customer service leaves much to be desired. I called them to have them transfer my record over to Regence and they had no idea how to and had to get managers, supervisors, etc. Then they mentioned maybe doing a letter stating I finished my 6 months of stuff, but the guy needed to talk to his supervisor and figure out how. Then tried telling me, oh there was only 5 of 7 tickets sent to me, had to go through explaining that they were definitely sent and I have my ww booklet right here that says otherwise. That didn't seem like much of an issue (5 of 7 tickets would still be 7 calendar months anyway)

I'm hoping they can get this figured out, I really don't want to wait 7 months for the surgery. What a waste of perfectly good weight loss time... o.o

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

    • Alisa_S

      Gearing up for my consult 01/14! Starting to get a little nervous.
      · 0 replies
      1. This update has no replies.
    • Goyafigs

      I had VSG 11.20.24 with Miguel Burch, MD Cedars-Sinai and I am 1 month post-op. 
      · 0 replies
      1. This update has no replies.
    • DaisyChainOz

      🥳 Jan 1 2025 - Day 1 of Pre Op, surgery on the 16th! 😬😅
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      Just been waiting until time for my consult with my bariatric surgeon. It's scheduled for Jan 9th. Turns out I won't actually be seeing him. Apparently it'll be with his P.A.             Not sure what to expect. I thought this is where the surgeon would discuss the best surgery option for me. For years I had my heart set on the sleeve, but I've read so many people have issues with reflux - even if they've never had it before - that they've had to be revised to the bypass. I already deal with GERD & take 40 mg of Omeprazole daily, so I started studying about bypass and honestly, it seems like it might be the better choice for me. How can we discuss surgery options if the surgeon is not there?
      What happened at your first consult? Trying to get an idea of what to expect, or maybe I should say, what NOT to expect.
      · 0 replies
      1. This update has no replies.
    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 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

    ×