Neighborhood Health Plan?

Vod421
on 9/21/14 2:31 am

Hello everyone! Has anyone had their VSG covered by NHP? I have MassHealth and I'm hoping to start a policy with Neighborhood in 2015. Just wondering what hoops you had to jump through for approval.

beachbum75
on 1/1/15 8:47 am
VSG on 01/14/15

Hi!  I also have NHP MA Health.  I started the process in April of 2014.  I was approved immediately once I completed all of the pre-rec's.  (Mental Health Eval, Dietician).  I only had a BMI of 36, but because of my Type 2 Diabetes, Hypertension and GERD I was approved without issue.  It does take 3-6 months to do all appointments, so don't expect it to be really fast.  They won't petition your insurance for surgery approval until you've had your final appointment and lost the pre-op weight requirement.  Good luck, I've loved NHP and I've had them for a few years.

    

    
Grim_Traveller
on 1/1/15 9:09 pm
RNY on 08/21/12

You're doing VSG and have reflux?

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

beachbum75
on 1/2/15 2:10 am
VSG on 01/14/15

I had an ulcer in my teens and have been treated for reflux ever since-I haven't taken meds for it for a couple of years and have no symptoms-but bc it was in my medical history it was still considered relevant.

    

    
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