Molina Healthcare Ohio (Medicaid) Insurance qualifications !

Misty Morgan
on 7/1/14 12:11 am - Goshen , OH
RNY on 04/24/13

Hi Shayna,

 

I thought the coverage was excellent and had zero problems getting approved.  I know you had to either have a BMI of 35 or higher with at least two comorbidities or a BMI of at least 40 without any comorbidities.  The first thing you do is call a bariatric program and get scheduled, usually the first thing they require is a seminar.  After that they will schedule your first appointment.  Molina required a cardiac clearance from a cardiologist, some lung function tests whi*****ludes a sleep study and then a clearance from a pulmonologist.  There was some blood work as well including a test for drugs and alcohol.  Those were all easy and had them done in a month.  They usually make you attend one support group and then a nutrition class as well.  But those can be done any time before surgery. 

 

The thing with Molina is that I was told a medically supervised diet must be through a doctor.  Not through a program like Jenny Craig, etc.  Honestly, I am glad I had a six month diet because it really helped me to be successful post op.  It gives you plenty of time to learn a ton, get used to the life you will be living, and make some changes before surgery.  And it will go by quick!!!  What you do is just see the surgeon (in my case) and the nutritionist each month for six months.  Your first visit will count.  After your sixth visit they will submit to insurance!  I used Mercy Healthy Weight Solutions in Fairfield, Ohio.  Its outside of Cincinnati.  My surgeon was Dr. Dahman who was amazing!

 

I did not have any denials and was approved in 24 hours after it being submitted.  I had a super positive experience with Molina!  I have now lost 183 lbs in 14 months and trust me, it was the best decision I have ever made!  Good luck!

                 
ChunkyButt
on 9/11/15 7:35 am - Dayton, OH

I just received my approval from Molina Ohio any question message me

juliegh
on 9/5/13 4:58 am - OH
Hello,
I am currently with molina of ohio.... Can anyone give me advice? I have done 8 months of diet, been to cardiology, anda psych exam... Are they hard to get an approval? I have an appointment with the surgeon how long after your first initial meeting does it take to have the surgery?
Queenb14
on 6/30/14 11:38 pm

I was approved thru Molina, last month if you do all the things listed they will approve you. Medically supervised weight loss. Ie doctor or nutritionist. 

    

    
mz_shyne
on 7/10/14 7:39 am - Cincinnati, OH

I have Molina also I've only had my first appointment yesterday. Did u have to do the 6 mths thing? And how long after did it take for an approval?

Queenb14
on 7/10/14 7:45 am

Hello, I did the six months supervised weightloss I finished every requirement during that time.  We submitted my stuff June 9 I had and answer the next week. As long as you do everything that's required they will approve you.

mz_shyne
on 7/10/14 12:16 pm - Cincinnati, OH

Thank u.. 6 mths just seems like forever lol

Ju-Cee
on 7/26/14 5:13 am

Does any one know if medicaid will cover the sleeve??? Or will they just cover lap and RNY.

Smile89
on 10/9/14 6:54 am

It will cover the sleeve.

aprikdb25
on 3/29/15 4:15 am - columbus, OH

Hello im new to this.I cam across you posting was wondering if you got a wls.If you did how long did molinia take to approve you?

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