Neighborhood Health Plan MA (NHP)

[braziliangirl 72]

Thanks' date=' I checked the website and I will call tomorrow. I live 1:30 away..but I dont care is like u said I can book all the apt in the same day.....In your experience, I have to attend the seminar? Its very hars for me at 7pm, and what do you think about my bmi...is 35 with diabetes 2 and prehypertension.... I really need a good surgeon office with experienced people to fight with insurance approval. Another question (sorry) lol, your pcp need to know your surgeon name? I ask because my pcp is part of Baystate Hospital and they have a Bariatric Surgeons, but I dont like it....do you have any problem with your pcp or insurance ffor choose a non local surgeon???? Thanksssssss[/quote']

First, they did not require the seminar, i didnt go.

Second, ur bmi being less than 40 but with ur co-morbities is probably ok, but u can always wear some ankle weight to add some extra lb hahaha i went wearing my snow boots, jacket, etc lol i weighted 8+lb hahaha

My pcp just wrote the medical necessity letter like for who it may concern, and the referral she sent it in the name of my surgeon, ur pcp will only need one special surgeon's number.

You can tell ur pcp that is a surgeon that u had good references, and u want to do it with him..

I think its going to work!

[\Mara/ 11]

First, they did not require the seminar, i didnt go.

Second, ur bmi being less than 40 but with ur co-morbities is probably ok, but u can always wear some ankle weight to add some extra lb hahaha i went wearing my snow boots, jacket, etc lol i weighted 8+lb hahaha

My pcp just wrote the medical necessity letter like for who it may concern, and the referral she sent it in the name of my surgeon, ur pcp will only need one special surgeon's number.

You can tell ur pcp that is a surgeon that u had good references, and u want to do it with him..

I think its going to work!

You dont have an idea how your words help me! Thank you and again good luck in your journey!

[\Mara/ 11]

Ankle weights of 5, 10 or 20? lol what u think?

[braziliangirl 72]

Hahahahaha 5 each ankle should be fine haha u need to able able to walk lmao

I'm sure you wont need this, just drink lots of Water and have a big meal lol with ur comorbidities u r fine!

[\Mara/ 11]

jjejejejej just kiddin but thank you lol

[\Mara/ 11]

Hi friend!!

In my searching about insurance guidelines, and reading and reading I found this in NHP:

Documented failure of attempts to sustain w

eight through less intensive, physician supervised methods, such as

diet, exercise, behavior modification programs and pharmaceutical interventions;

I dont have any documented attempts or nothing like that, all my life I just lost pounds with over the counter diet pills, some exercise, etc, but I cant documented that......what do you think? Maybe I can write a letter? I dont know....

Any advise or opinion I appreciate!

[braziliangirl 72]

Well my pcp had lots of reports of my past visits saying i was trying something lol from weight loss clinics, to personal trainers, etc.

Every single page of my medical records she mentioned about my failed attempts lol it was even sad to see the word "obese" in all of then

So, that may have worked, plus my 1 year record with weight watchers...

[\Mara/ 11]

Hi! I will try, I dont have any "documented" failed attempts, but I will try... I booked my first appointment with your doctor! Thank you for the help and advise....How are your pre-op diet!!??? Keep in touch!

[\Mara/ 11]

Well my pcp had lots of reports of my past visits saying i was trying something lol from weight loss clinics' date=' to personal trainers, etc.

Every single page of my medical records she mentioned about my failed attempts lol it was even sad to see the word "obese" in all of then

So, that may have worked, plus my 1 year record with weight watchers...

[/quote']

@Braziliangirl how was your surgery?? How are you?? Keep in touch please!

[Angie413 47]

I see all you people from mass. I also have NHP just starting the process. Just curios where did you or are you having your surgery. I am going thru MGH weight center. Trying to get input. Thank you.