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Requirement update

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Americhoice NJ/United Healthcare requirements

The requirements for Americhoice now known as United Healthcare in NJ for lapband is really simple: Acquire pre-authorization from a qualified surgeon in their network See a nutritionist Thats it.   I checked with them to see how many visits were required with the nutrionist and they said there are no minimum number of visits so virtually as long as you have met with one AT LEAST ONCE, you are ok. Dr. Vasquez did ask that I see one for at least 6 months during my initial visit, however I wonder if that is because it seems to be the standard amount of time with most insurance companies.   I did go to a couple of session with a licensed nutrionist about 9 months ago and found that even though I did make substantial changes to my eating habits, the wait loss was minimal and I really didnt feel any better about myself self esteem wise.   Since that was months ago and in speaking with the insurance company who recently underwent changes and they said that no minimum number of visits was necessary i decided to go ahead and move forward with my plans.   The pre authorization I expect will be put forth on Monday when I visit Dr. Vasquez. I hope it goes through without a hitch.    
chubbykins

chubbykins

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Other requirements and clearances

The doctor's secretary stated that I would need to see a cardiologist, pulmonologist and a psychiatrist for medical clearance and I was fortunate enough to have all my appointments completed this week. If anyone is looking for a psychiatrist, cardiologist or pulmonoligist in the Northern NJ Bergen/Passaic County area, let me know. More than happy to reccomend. Each of them were great and all accept United Healthcare/Americhoice.   The cardiologist had me undergo a stress test and echocardiogram. They also did blood work and checked my thyroid levels. The pulmonologist is sending me for a sleep test which wasn't a requirement but I am going to do it in 2 weeks. It will help address my snoring which has increased since my weight gain. As of today I am 268lbs. I also met with a psychiatrist whose main goal was to really determine if I have given real thought to the process of the lapband and if I FULLY understand the changes I need to make in my lifestyle and eating habits. He was very kind and after going over my history and making sure that I knew what I was signing on for with this surgery he did go ahead and aprove me.   My recommendation to anyone would be that it should not matter if your insurance requires these steps or not. You should undergo them for your own safety and peace of mind not just for you but your loved ones as well. I think a whole lot about my family especially my kids and how they would be affected if somrthing unforeseen were to happen to me so for that reason alone I am taking all the precautions and making sure that I am clear on all angles.   Dr. Vasquez is one of the few that requested these tests not just for his protection but mines as well. I have spoken with some people who had the procedure who said that they had the surgery without even having clearance on their heart, breathing or otherwise. Not good, not good I say. But I am glad things worked out for them. At any rate ...take the extra steps! the life you save may be your own.
chubbykins

chubbykins

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