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BCBS of NJ Horizon PPO--HOw long for answer



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Hi

My surgeon's office is submitting to the ins co today or tomorrow. Does/did anyone have bcbs nj? If so, how long did you wait for an answer? Do they usually approve?

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Hi

My surgeon's office is submitting to the ins co today or tomorrow. Does/did anyone have bcbs nj? If so, how long did you wait for an answer? Do they usually approve?

Hi, I have BCBS NJ and my surgery was just over a year ago. It was less than two weeks to get the approval. As long as you have all their requirements done it should be no problem. I know when I first inquired in June of 2012 you had to have a BMI of 40 or above or 35 and at least 2 co-morbidities.

Good luck!

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I also have Horizon BC/BS. Good to know!

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I have BCBS Federal Employee. I had an approval in two days, but I had to call my BCBS Case Manager to get the information. She sent me an approval letter which I faxed to my surgeon's office. Their certification specialist was on vacation and would not have responded for two weeks. With the fax, I was able to have my surgery done before she even got back from vacation.

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I have BCBS NJ Horizon Direct Access. It took 3 days to get approval.

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