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i really like dr Adrea, i consulted with him at a lap band intro, he anylized my condition and immeadiately assisted me in getting a referral to his professor Dr Gagner who was at NYPreb hosp in 2004 when appointments took months to get. A surgical plan was set up that other surgeons declined, it took 7 years to get insurance and the right doctor together to have my DS, Dr Andrea was the beginning of a success story.
fieel free to share this with him
she can go to Manhattan, there are several choice and they take all insurances, ny preb/ cornell, or lenox hill, i saw them all and had no problem with insurance.
hi everyone, i joined this site in hopes of finding information about weight loss surgery, and stumbled upon this thread, which is awesome. like the OP, i too live in nj and have horizon nj health (plan D, which is not AS great as Plan A). i called up tonight to see if i could have weight loss surgery under the plan i have, and the answer is yes. here are the requirements for the surgery under horizon nj health:
- you must have your primary care physician (PCP) agree that surgery is a good choice for you, and they must medically clear you for the surgery.
- you must have recorded at least one non surgical attempt at weightloss within the last 12 months (weigh****chers, jenny craig, lucille roberts, etc.).
- you must have a psychological exam and clearance pertaining to weightloss surgery (to make sure you understand what it is and the effects of it).
- you must be preauthorized for the surgery by Horizon NJ Health. doing the above 3 steps successfully pre authorizes you.
- your PCP must refer you to a participating weight loss surgeon. you then take that referral your PCP gives you to the weight loss surgeon you and your PCP choose (preferably together) to schedule your surgery.
- there are no copayments for the surgery under Horizon NJ Health. the surgery is 100% covered by the insurance company, HOWEVER dietary supplements and devices required after the surgery are NOT covered under plan D. they ARE covered under plan A.
hope this helps! i will be speaking soon about seeing if WLS is right for me.
There is a support group that meets on the 4th Thursday of the month at Monmouth Medical Center (this Thursday). It Is run by the weight lost institute of central Jersey. The program director is Deb LaRusso. She can be reached at 732-923-6070 if you have any questions.
Hope to see you there.
Jody