Mass Health Neighborhood Health Plan

 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?

i have commonweath care bmc  they took 6 hours to approve!

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

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

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

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.