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Horizon NJ Health BCBS ..Really a 12 month wait?



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Called my insurance ( after reading a BUNCH of forums on here ) and of course she read the manual to me like a zombie. I was told I had to complete a 12 month nutrional program . I have read in these forums that is not the case. All I have to do is go to my PCP, get a referral, medical clearance, psych eval, blood work, see a nutritionist, meet my dr/surgeon, process my claim and schedule a surgery date. What was your experience ? Also, she told me all surgeons are south jersey ( I'm central) any advice, tips, anything is helpful ! Thank you !

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Gosh no!! I started seminar thurs week in august and sleeves feb 5th! Depends on doctor mine was approved earlier but dr made sure my mind was in right place and nutritionist visits completed ????

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My postop has not been ideal. I've had many surgeries unfortunately this one is the roughest but I'm also a mother of six and don't get the proper rest. liquids went down fine purée find I'm even allowed solids today and I'm only 12 days out. Doctors very happy with incisions and progress weight loss of 28 pounds main incision where stomach came out of it very painful and I am having a lot of back pain that I've spoke to the doctor I've spoke to others on the site they say it's normal some have it some don't guess it's just my luck.

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Where are you located? Dr paragi in Livingston is nice office unorganized cause thy just moved and he separates from his partners but he's good

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I am central NJ , monmouth county. I'm trying to find a closer surgeon . I meet with my PCP on Monday and I will go from there . I'm so excited. I hope your healing process gets better with minimal pain. Especially since your a mommy !

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I had no problems. I attended the seminar in December and am scheduled for march 2nd. I had to take care of a lot of prerequisites in that time and had to show proof of prior weight loss attempts.

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Not sure which horizon bcbsnj plan you use but I am using seth kipnis through jsumc... There is also a really great group affiliated with meridian who work through bayshore and two other affiliated hospials (I think)

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A

Edited by BrandNewCB

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Sorry for the typos but writing from my phone. Feel free to private message me if you need more info.

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I need a barium swallow.I have to wait 2 weeks for approval just for that....concerned.......

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    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
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