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Insurance (NJ) horizon BCBS !

Has anyone gotten the sleeve through this insurance RECENTLY? Over the phone, I was told a 12 month nutritional program but I've searched a million forums on here, and no one was required to do that ! Also, I haven't been insured for 7+ years, so no other doctors have my weight history /: TYIA !

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They should be able send you the exact policy information. I found the information on my insurance website and I have Empire BCBS, so i'm guessing you should be able to find it too. I just but in Bariatric in the search engine. I wouldn't rely on a phone call. If you know where you want to do the surgery, they have insurance folks who can help clarify too.

I have BCBS of Illinois and I wasn't required to have nutritional program. I just had to show medical necessity. I had to have a psych eval, an ekg, a stress test, and my primary care had to sign off on it. The process was fairly simple. I had my first appointment on 12/23/14 and I am being sleeved today 2/23/15. Good luck with the process.

I have BCBS NJ Advantage EPO. I just got sleeved on 2/9. I didn't have to do a 12 month nutritional program. I had my first consult on 12/11/14. It may vary by plan. What BCBS NJ plan do you have.

Hi! I'm a lurker and made an account just to let you know you are not alone!!! I'm on my husband BCBS health insurance (he is a state employee) and I have to do the 12 month nutritional coaching program also! I started September 30, 2014. I have to do 1 call a month and I have to graduate the day after my first call. It ends up being 13 calls. Fingers crossed I'll get sleeved in October. Just know you are not alone ????

I'm BCBS New Jersey and was sleeved in August. I didn't have a 12 month requirement. However, I have the NJ Direct version which I think it a lot more flexible

  • 1 year later...

I'm BCBS New Jersey and was sleeved in August. I didn't have a 12 month requirement. However, I have the NJ Direct version which I think it a lot more flexible

Hi, I have the exact same insurance. What exactly did you have to submit to nj direct? I'm just starting out and want to have everything lined up for a speedy approval

Sent from my VS985 4G using the BariatricPal App

Hi, My experience went off with out a hitch. I did not have to do a 6 month medically supervised weight loss, but was told that the requirements had just changed. But I had started the process so I didn't have to do that. I had it done at NYP.

Do you have any clue when the requirements changed? I have something dated 1/5/16... I'm guessing your in NY, maybe your a teacher too lol... I'm planning to use Lenox hill

Sent from my iPhone using the BariatricPal App

Hi. I am in NY. The requirments changed last year about the time I had my surgery in April 2015. I had Dr. Bagloo as my surgeon and have had no problems except for acid reflux. My primary care doc has been super too. I am so glad I did this and have no regrets. Life is good.

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