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-Stacey
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With Horizon BCBS-NJ my deductible has been hit for the year. If I am approved this year would there be any charges billed or is WLS are you still respomsible for the 20%. After the first of the year our deductible will go up to 2500.00 Does this surgery apply to the deductible I guess is my question.
Hi guys
I am trying this again. I originally tried for the Gastric bypass back in 2008/2009 but was denied due to lack of 6 month diet. My doctor upto yesterday did not want anything to do with this.
Yesterday I went to my new doctor and she recommended the Gastric before I could even ask. She said that she was going to refer me to the hospitlal/program where they perform these procedures to get started getting ready. She asked if I had tried this before and I told her I was denied based on diet. She seems to think they can get this done and soon.
My question is it has been a couple of years since I have tried for approval and Horizon was pretty tough at that time. Has the rules changed since then. I had a case manager for Horizon tell me a earlier in the year tell me that she thought she could help me get approved but I needed to get well with my legs first. I tried to call her back about a month later and she is no longer with Horizon.
Just wondering if anything has changed.
Thanks for your help
Bob
Nan
HW 300 / SW 280 / CW 138 / GW 140
Hit Goal 4/2/2010
My first visit with the physician was i believe august 3rd i dont have all the other dates available right now, but my pre op was nov 3rd .


