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Horizon NJ Health BCBS ..Really a 12 month wait?

Brittany Paige

By Brittany Paige, in Insurance & Financing

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Brittany Paige    1

Brittany Paige
Posted

Called my insurance ( after reading a BUNCH of forums on here ) and of course she read the manual to me like a zombie. I was told I had to complete a 12 month nutrional program . I have read in these forums that is not the case. All I have to do is go to my PCP, get a referral, medical clearance, psych eval, blood work, see a nutritionist, meet my dr/surgeon, process my claim and schedule a surgery date. What was your experience ? Also, she told me all surgeons are south jersey ( I'm central) any advice, tips, anything is helpful ! Thank you !

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dar81    22

dar81
Posted

Gosh no!! I started seminar thurs week in august and sleeves feb 5th! Depends on doctor mine was approved earlier but dr made sure my mind was in right place and nutritionist visits completed ????

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dar81    22

dar81
Posted

My postop has not been ideal. I've had many surgeries unfortunately this one is the roughest but I'm also a mother of six and don't get the proper rest. liquids went down fine purée find I'm even allowed solids today and I'm only 12 days out. Doctors very happy with incisions and progress weight loss of 28 pounds main incision where stomach came out of it very painful and I am having a lot of back pain that I've spoke to the doctor I've spoke to others on the site they say it's normal some have it some don't guess it's just my luck.

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dar81    22

dar81
Posted

Where are you located? Dr paragi in Livingston is nice office unorganized cause thy just moved and he separates from his partners but he's good

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Brittany Paige    1

Brittany Paige
Posted

I am central NJ , monmouth county. I'm trying to find a closer surgeon . I meet with my PCP on Monday and I will go from there . I'm so excited. I hope your healing process gets better with minimal pain. Especially since your a mommy !

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BrandNewCB    50

BrandNewCB
Posted

I had no problems. I attended the seminar in December and am scheduled for march 2nd. I had to take care of a lot of prerequisites in that time and had to show proof of prior weight loss attempts.

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BrandNewCB    50

BrandNewCB
Posted

Not sure which horizon bcbsnj plan you use but I am using seth kipnis through jsumc... There is also a really great group affiliated with meridian who work through bayshore and two other affiliated hospials (I think)

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BrandNewCB    50

BrandNewCB
Posted (edited)

A

Edited by BrandNewCB

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BrandNewCB    50

BrandNewCB
Posted

Sorry for the typos but writing from my phone. Feel free to private message me if you need more info.

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Pinkgirl1234    761

Pinkgirl1234
Posted

I need a barium swallow.I have to wait 2 weeks for approval just for that....concerned.......

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Go To Topic Listing Insurance & Financing

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    • LeighaTR

      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
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    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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