Molina, need info on making sure I did everything correct

[New To This23 102]

Hi, I am new to this and I think my Doctor is as well.

I saw my DR. and we discussed weight loss surgery. He told me to contact my insurance (Molina) and find out which clinic(s) I can go through. I did that. I then went to a meeting with the clinic closest to where I live. I filled out all of their info only to be told I needed to have my DR. send a certain paper, they attached it to an email and sent it to me.

I gave my DR. the paperwork, and I followed up to make sure he sent it in. Essentially that paper was step 1 so I could get approval for step 2. ( Step 2 is connecting with the dietician and doing the weigh-ins for the next 6 months) Step 3 is the actual surgery.

I wanted to know, how will I know if I am approved for step 2? will my insurance send me a letter? do I need to talk to my DR. again?

Thank You for any help.

[liveaboard15 1,293]

really the only ones that can answer that for sure is your own doctor and surgeons team. Most insurance have a requirement of 6 months of weight loss attemps/supervision. your bariatric team should be the ones to let you know as everything progresses.

[New To This23 102]

Thank You Livaboard15 for your reply. I guess I did not make myself clear. I was wanting to know how or if I would be contacted by my DR. or the insurance, on whether or not I was approved to start stage 2, which is the 6 months' worth of visits/supervision. Or do I need to call my insurance or the DR. to find out?

[kcuster83 1,504]

Every insurance is different. I did not need any type of approval for starting the 6 month process, I only needed approval for the actual surgery.

I received a call from the insurance coordinator at the surgeons office telling me I was approved, but also received a letter in the mail from my insurance company telling me I was approved also.

When in doubt just nag nag nag! Nag them all, get your questions answered.

[New To This23 102]

Thank you to those that answered. I was approved on Dec 23 to start the 6-month program, I received my letter of approval on Jan 4 and I got a phone call on the same day letting me know I was approved 2 weeks prior. I have all of my appointments booked !! yeah!! unfortunately, I am 12 lbs heavier than what my Dr, turned in so I need to lose that on top of what the insurance wants me to lose.