Molina Member Story

A 51-year-old female member living with multiple health challenges, including bipolar disorder, asthma, urinary incontinence, and hypertension, faced significant barriers in getting care. The member enrolled in case management to help manage her asthma and address gaps in specialist care for her complex conditions. The member was having difficulty communicating her needs to providers, and felt unheard and unsure of how to advocate for herself. She also required durable medical equipment (DME), such as a blood pressure monitor, incontinence supplies, and a nebulizer, but lacked support in obtaining these essentials.

With the help of her case manager, the member took comprehensive health assessments, received education information about which specialists could best address her diagnoses. The case manager arranged appointments with primary care, urology, psychiatry, mental health counseling, and DME suppliers. Telehealth options for behavioral health counseling were introduced, and assistance was given to secure needed medications and vaccinations. The member received vital DME supplies and started a new bipolar medication regimen.

As a result, the member gained confidence in discussing her conditions and advocating for her care. She reported feeling much better mentally and appreciated the support in connecting with providers and resources. Ultimately, she graduated from case management, having established a foundation for ongoing self-advocacy and engagement in her health journey.