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NHP by Masshealth & more questions

KimberlyBranco7

By KimberlyBranco7, in Insurance & Financing

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KimberlyBranco7    64

KimberlyBranco7
Posted

How long does it take for insurance to approve ?? I have Neighborhood HealthPlan by Masshealth.

And also, last weigh in I was 215

Today I am 218

I have to go back for a weigh in tomorrow

What do u think they'll decide ?

Did anyone go into surgery without meeting the surgeons weight goaled ?

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andreamy7    55

andreamy7
Posted

Depends on the provider. The Dr will usually be able to tell you or just call the receptionist or billing at your Dr and see what they say is the norm with that type of coverage. You could also call your rep at the insurance company and ask what the general hold ups are. My insurer was trying to make me wait 6 months but I knew she could waive it so I tried to convince her myself why I needed it done. I was approved a week later. I think she must have really heard me. Good luck!!

trstone07 reacted to this

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zoesmom    7

zoesmom
Posted

i also have nhp with masshealth and i started my group workshop tonight. the instructor mentioned as soon as she walked in the door (which makes me horribly paranoid) that people with masshealth who have gained since starting the process will be denied coverage for insurance. well i started at 273.6, went to 274. then dropped down to 267.6 and dropped again to 266. today i was weighed at 269. but i did just start my period. i have been working out like crazy and following the dietitian's specific plan for me. i know that i am gaining muscle but i am so worried that i will be denied now. its sort of disheartening once you get to what should be the downhill and feel stalled. ugh. i haven't even been denied and im freaking out.

anywho, how was the process in general dealing with nhp and masshealth?

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trstone07    0

trstone07
Posted

Just curious.. How did you get masshealth to waive your 6 month requirement? I am 4 months in the req diet and I need to have it done sooner before I start law school. Can or will they do that? And how do I ask them?

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starr1202    38

starr1202
Posted

I have NHP with mass health and didn't have to do the 6 month weigh ins and gained 14 pounds and had no issues at all.

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mry1407@aim.com    0

mry1407@aim.com
Posted (edited)

I have celticare Masshealth my BMI is 37 and right know I have one comorbidity and that's Asthma. Is Asthma considered a comorbidity? Well I still get approved if by the insurance if my BMI is 37.

Edited by mry1407@aim.com

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Go To Topic Listing Insurance & Financing

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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