Does anyone it's trying to get a approval with Neighborhood Health Plan?

 Hi! Does anyone has Neighborhood as your health plan?
How Hard it's to get an approval? 
And also, has anyone seen Dr. Edward Mun at Falkner Hospital?

I have tufts so can't help you with that.  However I had my surg at St Elizabeth's in brighton and just love my surg.  Dr. mun has great reputation .. I know a few that he did lap band on and they love him.

GOOD LUCK...

 Thank you!


 I just went to see my PCP today and she gave me Dr. Mun name.
 Now I have to go to an information section at the Falkner Hospital.
 But I don't know yet how that works and it's going to be with my insurance.

I am seeing Dr. Mun at Faulkner Hospital.  I went to the inormation seminar back in August and got my first consult with hin on September 3rd.  At that time I had NHP and was told that as long as I had a BMI over 40 or 35 and over with two medical conditions (diabetes.. high blood pressure) that they would cover it.  NHP does require a six month medically supervised weight loss class and they have one their at Faulkner. I think they meet on the second Monday of every month at 10:30. There is information on their website.  I only went to one of the classes because my insurance got switched to Harvard/Pilgrim and they do not require the six month class. You are going to love Dr. Mun. I have spoken with a few people that have had surgery with him and they were more than pleased. I have heard that the nursing staff there is excellent.  Your recovery is on a floor with other patients that have had weight loss surgery as well. My surgery is not until January.  Good luck on your journey!      

I have Neighborhood Health Plan and when I called them  they said they cover it but they do not approve until all the paperwork from the surgeons office is complete.
I saw my surgeon today  and they are sending my paperwork in this  week. The process happened a lot faster than I imagined. So as long as your surgeon gets all the paperwork together   and you have the requirements the bmi or other health issues then you should be ok.

 I'm a little afraid that they won't approve. My BMI it's 37.5. I've been trying to put in some weight but it's as hard as is to loose.  I am trying to get pregnant. Did 5 IVF's already and I have only one more chance through the insurance ( and I don't have money to pay out of pocket). My Dr. thinks that this surgery could be my last chance.

I am coming to the information session next wednesday and then I can make an appointment. I hope I'm able to gain some weight till then.

i am currently in the procees with Neighborhood, you have 2 attend a preoprative weight loss group for six months. Dr. Mun is ok he is very brief the visit with him took 2 minutes, because he had to return to the OR.

 Good to know that. I am going to see him in december but I am already going to the weight loss group in november. 

Di you had a 40 BMI?