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Anybody have BCBS Horizon of New Jersey out there?

Just wondering how things with insurance approval. My initial weight in my BMI was 40, since then I've lost around 12 pounds my BMI now down to 37.9. Fingers crossed I will still be approved.

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I have Horizon BC/BS. Initial BMI was 45.35. BMI at time of approval was 41.6. I had high blood pressure and GERD as co-morbidities. However, the guideline was BMI of 35 and less needed a co-morbitity and anything over 35 did not. The BMI was based on the date I entered the program not on the day of surgery. They want to encourage you to loose weight during the 6 month pre-approval diet.

My program submitted the medicals to BC/BS on a Tues morning and I had approval on Friday afternoon. I worked with an Optum bariatric case manager during the whole pre-op.

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