Insurance (NJ) horizon BCBS !

[Brittany Paige 1]

Has anyone gotten the sleeve through this insurance RECENTLY? Over the phone, I was told a 12 month nutritional program but I've searched a million forums on here, and no one was required to do that ! Also, I haven't been insured for 7+ years, so no other doctors have my weight history /: TYIA !

[Hoven 33]

They should be able send you the exact policy information. I found the information on my insurance website and I have Empire BCBS, so i'm guessing you should be able to find it too. I just but in Bariatric in the search engine. I wouldn't rely on a phone call. If you know where you want to do the surgery, they have insurance folks who can help clarify too.

[kcdavidson42 10]

I have BCBS of Illinois and I wasn't required to have nutritional program. I just had to show medical necessity. I had to have a psych eval, an ekg, a stress test, and my primary care had to sign off on it. The process was fairly simple. I had my first appointment on 12/23/14 and I am being sleeved today 2/23/15. Good luck with the process.

[CountryGirl5584 115]

I have BCBS NJ Advantage EPO. I just got sleeved on 2/9. I didn't have to do a 12 month nutritional program. I had my first consult on 12/11/14. It may vary by plan. What BCBS NJ plan do you have.

[linzlou2000 193]

Hi! I'm a lurker and made an account just to let you know you are not alone!!! I'm on my husband BCBS health insurance (he is a state employee) and I have to do the 12 month nutritional coaching program also! I started September 30, 2014. I have to do 1 call a month and I have to graduate the day after my first call. It ends up being 13 calls. Fingers crossed I'll get sleeved in October. Just know you are not alone ????

[linzlou2000 193]

This is BCBS for VA.

[lastingdreams 57]

I'm BCBS New Jersey and was sleeved in August. I didn't have a 12 month requirement. However, I have the NJ Direct version which I think it a lot more flexible

[locjewel 14]

I'm BCBS New Jersey and was sleeved in August. I didn't have a 12 month requirement. However, I have the NJ Direct version which I think it a lot more flexible

Hi, I have the exact same insurance. What exactly did you have to submit to nj direct? I'm just starting out and want to have everything lined up for a speedy approval

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[Read2016 658]

@@Hoven I have empire BCBS too, any insight on how the process has been? I'm meeting with the team next Wednesday, surgeon, nut and psy.

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[Hoven 33]

Hi, My experience went off with out a hitch. I did not have to do a 6 month medically supervised weight loss, but was told that the requirements had just changed. But I had started the process so I didn't have to do that. I had it done at NYP.

[Read2016 658]

Do you have any clue when the requirements changed? I have something dated 1/5/16... I'm guessing your in NY, maybe your a teacher too lol... I'm planning to use Lenox hill

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[Hoven 33]

Hi. I am in NY. The requirments changed last year about the time I had my surgery in April 2015. I had Dr. Bagloo as my surgeon and have had no problems except for acid reflux. My primary care doc has been super too. I am so glad I did this and have no regrets. Life is good.

[Read2016 658]

Happy for you, I'm glad your happy with your sleeve... I look forward to joining the sleeve happiness

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