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Horizon NJ Health, 12 month wait?

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.

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@Angelkeeper Oh I pray it happens that fast!

Anyone did NOT have the 5 year weight history with their PCP? I'm new typo the area so I've only seen this PCP twice about weight concerns. I'm afraid this who'll be an issue????

Do you have a yearly physical? If you do, your doctor should be documenting your weight and bmi. I freaked out because I totally forgot that my pcp kept track of my weight and bmi each time I see him. He actually had 7 years documented for me. What about your previous pcp, can you get your records?

Catherine, I see that your surgeon is Dr. Boynton. He was my surgeon and he's awesome! Chris is amazing as well. I have nothing but good things to say about them!

I have horizon NJ as well. I saw Diane Palmer through kennedy in Stratford. I had no out of pocket expense. It was covered 100%

Diane T. Palmer, MSN, Apn
856-566-6459

Just call and tell them you need a psych clearance. Shes very nice. Yiu may have to call a few times to get answer. Hope that helps ;-)

@Fatisnotaflaw Same here. Started the whole process in Maryland last June, moved to NJ in October, three insurances later finally submitting but they've asked if i can get my old PCP to write. Deep breathe. We've come this far.

Do you have a yearly physical? If you do, your doctor should be documenting your weight and bmi. I freaked out because I totally forgot that my pcp kept track of my weight and bmi each time I see him. He actually had 7 years documented for me. What about your previous pcp, can you get your records?

I just had a baby in 2011 so I've been seeing my GYN. I think since having my baby I onlynsaw my PCP once or twice. Maybe I should get those records from my GYN. I was my heaviest then too.

DandeeD, awesome! I love them both. They have an amazing demeanor about them! Im waiting on insurance approval from my 2msecondary. I should be having surgery in about 2 weeks!

  • 2 months later...

Hello everyone
Since Horzion NJ Health doesn't. Cover psych clearance. Can anyone give me the name of a great psychologist to go to in NJ? I live in Lindenwold. I find a psychologist but she wants 250 just to do a consult and write up a letter.

Edited by Tazi

Google Bariatric Psych Evals. They did mine by phone for 100.

What is the link?

  • 1 month later...

Yes you do, even if you have the history from different doctors to help you fill in the blanks

I didn't. Depends on who you go to.

  • 1 month later...

With HNJH how long did take every one when it was submitted to the insurance, how long did it take to get approved?

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