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Horizon NJ Health, 12 month wait?

Thick'n'Thin

By Thick'n'Thin, in Insurance & Financing

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Angelkeeper4    69

Angelkeeper4
Posted

I'm right there with you not knowing....like the requirements. Etc...

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Ariellestarr    53

Ariellestarr
Posted

Hello everyone. I'm just starting my journey. I has horizon nj health. I have my first appt with Dr Goldstein 6/13. And the seminar is 6/9.

I'm a little nervous because I'm unsure of the process and how long it will take to get a date

I was told it's typically a 3 month wait depending on how fast you finish all your pre op testing. I'm at the end and it's been just about 3 months. Aiming for June 30th!

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mrsbailey921    117

mrsbailey921
Posted (edited)

hey all, just an update...HNJH does cover mental health care as part of a bariatrics program...i was able to land an appointment for july 15th (which puts me off of surgery by another month but its ok since im saving more than 100.00 since insurance is paying for it for me)...with a psychologist within my hospital's network.

Edited by mrsbailey921

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mrsbailey921    117

mrsbailey921
Posted

Hey all. Just curious if anyone has gotten their surgery yet or a date. If so, did the insurance company give you any trouble? How long did it take to get approved?

I have my pre op exam on June 4th, aiming for a surgery date of June 30th!

we were just discussing this at my nutritionist meeting tonight. HNJH is one of the fastest approval insurances ive seen thus far (i think all HORIZON insurances are). so long as everything is done to the letter, i truly think you'll have your approval letter within 14 days. my insurance specialist said the longest shes ever waited for an approval from HNJH is 11 business days...and that to her was "long". she said the average is 7 business days in her experience.

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Angelkeeper4    69

Angelkeeper4
Posted

Good luck ArielleStarr! I hope its quick! I'm here over the top excited cause my journey starts tonight with my seminar! Long way to go but its starting!!

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leep732    6

leep732
Posted

Hello all, I am new here. My PCP broached the subject of bariatric surgery recently. I am pretty interested. Has anyone dealt with this insurance company recently and bariatric surgery? When I called they told me the first step is to do 12 months of a documented weight loss program before anything else related to surgery. Timing wise, I found this a bit discouraging- as I have time intensive goals next september. Anyone have experience going through Horizon NJ Health? Thanks.

Hi just for info I had my sleeve done at cooper Bari attic in Voorhees Dr Patel there service is one stop they send and monitor you through entire processes they do all there testing a pre Qual I started 25 Feb and was on table March 5th had the sleeve done and could not be happier just wanted to pass along. Good luck

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leep732    6

leep732
Posted

Leap is it all in the same facility

Yes most of it is Google cooper bariatric in Voorhees I can refer you if you like they have orientation and lifetime nutrition and support groups too. I just need email to have them contact you if you like private message me

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mrsbailey921    117

mrsbailey921
Posted

yes i think it is important to have lifetime support groups. i am going through CarePoint Health in northern nj and yes, there are free lifetime support groups. so i am happy.

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Destiny Star    15

Destiny Star
Posted

@@leep732

I just had my 1st appt with Dr. Patel Mon. Waiting on my package with test dates in the the mail. What insurance do you have? How was your experience with insurance approval? Did you have to pay any fees before surgery?

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leep732    6

leep732
Posted

@@leep732

I just had my 1st appt with Dr. Patel Mon. Waiting on my package with test dates in the the mail. What insurance do you have? How was your experience with insurance approval? Did you have to pay any fees before surgery?

That's wonderful you are going to love him it takes time to get packet they make all your appointments for you be patient. I have medicare and tri care military as a retiree tri care does not cover at all medicare does I don't know as yet what my out of pocket insurance costs will be but you do have to pay upfront a 600.00 program fee not covered by any insurance it's the nutritional councilor and other fees gives you lifetime support in mtg and so forth. Best of luck to you!

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Destiny Star    15

Destiny Star
Posted

@@leep732

Ok. That's what he said $600.00 but everything else was covered. I already had two required appt scheduled for this month. Dr. Patel was so nice and went over everything. His staff was very nice as well. I just wish I would of done this sooner because I do all the running around with my children for sports.

Did you have to fast for pre op?

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leep732    6

leep732
Posted

@@leep732

Ok. That's what he said $600.00 but everything else was covered. I already had two required appt scheduled for this month. Dr. Patel was so nice and went over everything. His staff was very nice as well. I just wish I would of done this sooner because I do all the running around with my children for sports.

Did you have to fast for pre op?

Yes I did but truthfully I got to wear the liquid diet was not bad I never felt hungry. So the 12 hours before surget was no big deal I recommend premier Protein shake a when they start your pre diet it's important to loose as much as possible before surgery so that the liver is smaller

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Go To Topic Listing Insurance & Financing

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