Jump to content
×
Are you looking for the BariatricPal Store? Go now!
$99 Yearly Supply Alert! 🌈 "1 per Day!" Bariatric Multivitamins

approval

Jersey Boy

By Jersey Boy, in Insurance & Financing

Recommended Posts

Jersey Boy    0

Jersey Boy
Posted

I finally got my approval letter today from Horizon BC/BS of NJ after six months of dieting "again" I've only been doing this for 15 years actively, but not under my doctors strict supervision. I completed the six month supervised weightloss program and have been approved and have a surgical date of July 29th. I can't wait. My surgeon is Dr Bertha from Florham Park has anyone else had him? I've met him several time and like his manner, and approach.:tt2:

Share this post

Link to post
Share on other sites

di1138    8

di1138
Posted

I finally got my approval letter today from Horizon BC/BS of NJ after six months of dieting "again" I've only been doing this for 15 years actively, but not under my doctors strict supervision. I completed the six month supervised weightloss program and have been approved and have a surgical date of July 29th. I can't wait. My surgeon is Dr Bertha from Florham Park has anyone else had him? I've met him several time and like his manner, and approach.:tt2:

Even though I live in CA I have horizon BCBS and am awaiting approval. What plan did you have and how long did it take for approval? Did they make you diet for six months? May I ask what your starting weight was. I dont know if that has anything to do with it. I am so anxious to have surgery. Thanks and congradulations.

Share this post

Link to post
Share on other sites

Jersey Boy    0

Jersey Boy
Posted

I was turned down the first time. A week befor I was scheduled for surgery BC/BC standerdized the approvall criteria. Before I only need a referal from my PCP and the phsyc eval and dietician eval then they said I (we all) need a six month supervised weightloss program with in two year prior to surgery, which I did not have a supervised program in the past two years. As soon as iI completed that, we re-applied and was approved within a week. The case worker, at BC/BS were very nice and extremely helpfull. I started with a BMI of 43.5 (286 lbs) after the six months I'm at a BMI of 40 and (264 lbs)

If you get the requirements from the insurance co inadvance and be sure that you company doesn't have an exclusion to WLS its easy and doesn't take as long as it sounds. I got a lot of help and encouragement from friends on this site. Talk to people and all will be willing to help.

GOOD LUCK

Share this post

Link to post
Share on other sites

Tracyde730    7

Tracyde730
Posted

That's awesome Jersey Boy! My last drs. appt is Thursday & then everything will be sent in for approval. Wish me luck!!

Share this post

Link to post
Share on other sites

babs0101    1

babs0101
Posted

Good luck to you all. Joe I'm so happy for you, come Oct. we'll be able to hug less of each other! LOL

Share this post

Link to post
Share on other sites

SDAILY    0

SDAILY
Posted

Congrats! How long did approval with them take? From time of sending to you getting word that you were approved.

I Have BS/BS NJ Horizon and am about to go to my last of my 6 month diet appointment.s. So ready to get this going!!!

Share this post

Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Go To Topic Listing Insurance & Financing

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • 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.
      · 0 replies
      1. This update has no replies.
    • 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.
    • KimBaxleyWilson

      KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    Bariatric Forums

    For Patients

    Health Professionals

    Search Surgeons

    Bariatric Surgeons: Want to research a weight loss surgery surgeon? Enter their last name below to start!

    ×