Mass Health Neighborhood Health Plan

Rachel B.
on 8/14/10 6:14 am
 Does anyone here have Mass Health with the managed care plan NHP?  If so, how long did it take for your surgery to get approved?  Did you need a referral?  What about prior authorization?
tipa
on 8/14/10 7:06 am
i have commonweath care bmc  they took 6 hours to approve!
amyjd62080
on 9/30/10 1:10 pm - New Bedford, MA
I had NHP commonwealth care and My surgeon is Dr. Rayford Kruger in wareham Mass. Basically I had my first appointment with him and he told me I was a perfect canidate at the end of May. I went through the process of seminars, nutrionist, and psych and was approved and had my surgery 8/31/10. I couldn't get over how quick the process was and i think the only thing i needed to do was to lose between 10-20 pounds before surgery. I was called up a week before my surgery and was told i was approved and was given a date. Not sure how other doctor's offices operate but I know NHP covers the entire surgery and your only responsible for the psych and seminars which cost me $500. Good luck to you
 

"Nobody said it was going to be easy, they just promised it was going to be worth it"
My email is [email protected] and looking for new WLS friends on facebook...

   
J. St.peter
on 4/17/12 5:30 am
Hi.. I have no idea if I'm posting this post in the right spot..I have my first apt. At warehams associates with my surgeon tomorrow. DR. KRUGER. I AM SO AFRAID OF SAYING THE WRONG THINGS. I AM ON 47 MILLIGRAMS OF METHADONE. I HAVE BEEN COMING OF THE LAST 6 MONTHS. DOCTOR RIGHT AWAY SAID THAT MY PHONE WAS A PROBLEM. AND NOT HAND LIKE TO SEE ME AT 10 MILLIGRAMS BEFORE THE SURGERY. I AM ACTUALLY WILLING TO DO THIS. I HATE METHADONE I WANT TO BE OFF I HAVE NOT USED DRUGS IN OVER 3 YEARS. He mention the 10 milligrams at the seminar. I am terrified that I will be treated differently Because I'm a recovering addict. That has happened to me quite a few times. My life has changed I'm a productive member of society. Has anyone I have this surgery on methadone. I have mass health as well . I heard that there is a 6 month program required when you have masshealth. Anyone can help me with how to go when I present my case you with the doctor about being treated differently. And if anybody knows any information on mass health.. thank you so much. Have a blessed day..xxx
marieloves
on 6/13/13 2:10 am

Any new experience with Neighborhood Plan in MA???? Pleaseeee!

Heather G.
on 10/23/10 1:06 pm
I have that. My surgeon (and the insurance) required some pre-approval things (blood work, an upper GI, a nutritionist visit and a few other things), but once that was done and the surgeon's office submitted my paperwork, the approval happened about a week later.

I didn't need a referral or a PA.
HW: 299 / SW: 286 / CW: 175 / GW: 144-165 / Height: 5'9"
    
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