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Ghi Hmo

Anyone been approved in NY with GHI HMO if so with what doctor?

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I haven't been approved yet - I just bought a PPO policy with GHI.

I'm using Dr Alan Geiss in Syosett. He's the best on LI and accepts GHI.

Keep in mind, GHI requires a 6 month superived diet though.

  • Author

GHI PPO denied my surgery. I now have GHI HMO with GHI PPO as secondary. I have records of 6 months of Nutrisystem will that be enough?

You make me nervous ... why did you get denied with the PPO???

I'm not sure if Nutrisystem counts. I think it has to be a DOCTOR supervised 6 month diet. It has to be a visit with your PCP/reg doctor once every 4 weeks.

I have GHI HMO and my band was approved like.overnight. I went to the MD on Monday and Tuesday morning I got the call. I did have to stay overnight but then again this was two years ago. now I have been approved to get the extra skin removed also by GHI HMO this one took 2 weeks to get approval. I have been very pleased with this insurance company.

  • Author

Thanks for the info. GHI PPO denied me 2 years ago saying that the surgery was not medically necessary. I was 120 lbs overweight with moderate sleep apnea and a history of diabetes. I went through the appeal process only to be denied again with GHI PPO. I am grateful to have the HMO now and I have my first doctors appt on June 12th with Dr Kwon. I hope I have as good and as quick a result as you did! Prayers are welcome!

That sucks - I've never heard of anyone having a problem with GHI.

I should know in the next 6-8 weeks. I'll let you know how it goes for me.

Best of luck this time around.

  • 2 months later...

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