does horizon nj health cover weight loss surgery

Unlocking Your Weight Loss Journey through Horizon NJ Health

If you’ve been considering weight loss surgery as a path to better health, Horizon NJ Health provides a comprehensive coverage program that makes it more accessible for you to take this important step. Join us as we dive into the details of their coverage, eligibility criteria, and value-based program!

Horizon NJ Health Weight Loss Surgery Coverage: Empowering Your Journey

Horizon NJ Health acknowledges the challenges you face in managing severe obesity. Their comprehensive coverage supports your weight loss journey by providing access to various procedures, ensuring you find the best fit for your needs:

  • Gastric Bypass: Reduces stomach size, creating a smaller pouch that limits food intake.
  • Sleeve Gastrectomy: Removes a portion of the stomach, leaving a smaller, banana-shaped tube that holds less food.
  • Revision Surgery: Provides an option for those who have had previous weight loss surgery but need further weight loss.

Eligibility Criteria for Weight Loss Surgery under Horizon NJ Health

Horizon NJ Health has established specific criteria to ensure that you have the best chance of success after surgery. These criteria include:

  • Body Mass Index (BMI): A BMI of 30 or higher indicates obesity, making you eligible for coverage.
  • Comorbidities: The presence of medical conditions related to obesity, such as Type 2 Diabetes, heart disease, or sleep apnea, strengthens your eligibility.
  • Age Requirement: Typically, you must be 21 years or older, though exceptions may be made for younger individuals who have reached full skeletal growth or have severe obesity-related health conditions.
  • Preoperative Considerations: Horizon NJ Health may require you to participate in a medically supervised weight loss program before approving your surgery.

Value-Based Bariatric Surgery Program with Horizon Blue Cross Blue Shield New Jersey

Horizon Blue Cross Blue Shield New Jersey goes above and beyond with their innovative Value-Based Bariatric Surgery Program, putting you in control of your weight loss journey. This program empowers you with:

  • Personalized Care: Access a dedicated team of experts who tailor your care plan to your unique needs.
  • Support Before and After Surgery: Benefit from specialized support at a bariatric ambulatory surgery center to ensure a smooth recovery and ongoing guidance.
  • Reward and Recognition: Celebrate your success with rewards and recognition for reaching your weight loss goals.
  • Innovation at Your Fingertips: Experience the convenience of remote patient monitoring through telemedicine and the precision of artificial intelligence to enhance coverage decisions.

Unlocking Your Horizon: Take the First Step

If you’re ready to transform your health with weight loss surgery, here are the steps to follow:

  1. Check Eligibility: Determine if your BMI and health conditions qualify you for coverage.
  2. Find a Provider: Connect with a participating bariatric surgeon in Horizon’s network.
  3. Schedule a Consultation: Discuss your options, explore the program’s benefits, and set the wheels in motion for a healthier future.

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