does federal blue cross blue shield cover weight loss surgery
My BCBS doesnt cover bariatric surgery AT ALL. Blue Cross Blue Shield Federal Employee Plan Denied My Gastric Sleeve Surgery.
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I didnt have to document a weight loss program but was expected to follow the dietary guidelines set forth.
. Bear in mind that employers have the option of opting-out of any weight loss surgery insurance. The majority of the Blue Cross Blue Shield network has some kind of weight loss surgery coverage. I had a BMI of 379 starting out with my comorbities being hypertension borderline diabetic and COPD.
Choose between two programs. Two different online programs are available. 200 copay in a non-office setting 1.
And One of the following. Posted January 27 2011. So we are happy to report that BCBS Florida and BCBS Federal covers weight loss surgery.
5 feet 7 inches. Obesity Coverage feels very strongly that morbid obesity is a serious illness and that all insurance companies need to cover the life-saving techniques. While most of the Blue Cross insurance policies do cover weight loss surgery not all of them do.
Yes insurance will cover skin removal after weight loss surgery when certain conditions are fulfilled. Bariatric surgery is sometimes considered a medical necessity. Therefore Blue Cross Blue Shield may cover the procedure at least in part.
Yes Anthem Blue Cross and Blue Shield of California will cover your Gastric Sleeve Surgery as long as your insurance plans requirements for bariatric surgery are met. PRE-Operation Weight Loss Surgery Q. On 11110 303 am - Evansville IN.
ObesityCoverage strongly feels that morbid obesity is a disease and every insurance company should cover these life saving procedures. The panniculus hangs below the level of the pubis which is documented in photographs. So in this article we will examine private insurance coverage in particular blue.
In your section about Gastric Sleeve Surgery it is mentioned that only two insurance companies have been known to cover it for folks in the past one of which was the Blue Cross and Blue Shield Federal Employee Plan FEP. Fep Blue Cross Blue Shield Out Of Pocket Expenses 99 for entire year supply of 1 per Day. I have Federal Blue CrossBlue Shield but didnt have the lapband.
It is important that you meet these criteria in order to benefit from the insurance. There are documented recurrent or chronic rashes. Those that do cover the procedure have similar requirements to those of Blue Cross Blue Shield BCBS of Michigan.
Counseling to help beneficiaries focus on diet and exercise in an effort to lose weight. 3 Blue Distinction Centers for Bariatric Surgery Program Selection Criteria Cost Nationally consistent and objective approach for selecting BDC was used to address market and consumer demand for cost savings and affordable healthcare. These weight loss programs can include.
PRE-Operation Weight Loss Surgery Q. Fep Blue Cross Blue Shield Out Of Pocket Expenses Bariatric Forums. The policies contained in the FEP Medical Policy Manual are developed to assist in administering contractual benefits and do not constitute medical advice.
Your weight loss counseling and screenings are covered in full if received from a primary care doctor who accepts Medicare assignment. If you are wondering does insurance cover skin removal surgery here are some of the. While most of the Blue Cross insurance policies do cover weight loss surgery not all of them do.
Nothing for covered preventive screenings immunizations and services. They are not intended to replace or substitute for the independent medical judgment of a practitioner or other health care professional in the treatment of an individual. Blue Cross Blue Shield of Texas BCBSTX covers weight loss surgery.
Weight loss surgery is considered an effective treatment of morbid obesity. Before making a final decision please read the. Contact information for BCBS Federal and BCBS Florida is listed below.
However even with valid BCBS bariatric surgery coverage you will. An initial BMI screening. Link to post.
Blue Cross Blue Shield Federal Employees Program and Blue Cross Blue Shield Florida covers weight loss surgery. I was wondering if there is some more specific information on. Im now self pay.
Leading insurance providers such as Blue Cross Blue Shield cover plastic surgery procedures when these are performed as a medical necessity and not for cosmetic reasons. Blue Cross Blue Shield of Texas covers 3 weight loss procedures including the Gastric Sleeve Gastric Bypass and Lap-Band assuming your policy includes bariatric surgery. Weight loss surgery is considered an effective treatment of morbid obesity.
According to Blue CrossBlue Shield of California Medically Necessary. Following are a list of Anthem Blue Cross Blue Shield plan types and whether they cover bariatric surgery. About 39 of all US adults are clinically obese with a Body Mass Index BMI of 30 or over and taking in to consideration those that are overweight with a BMI of 25 to 299 this number raises to about 70 of all adults.
Surgery 150 copay in an office setting 1. Recognized by Blue Cross Blue Shield as being named a Blue Distinction Center for Bariatric Surgery is an honor for the My New Beginning program a department of My New Beginning. Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies.
Has anyone with the Blue Cross Blue Shield Federal Employee Program been able to get them to pay for penniculectomy or abdominoplasty after the plan paid for your lap band surgery. The answer is yes as long as there is no specific exclusion clause to opt out of this coverage for lower premiums. Eligible individuals can participate in one program at any time but HealthSelect will not cover your participation in both programs at the same time.
Each Anthem Blue Cross and Blue Shield California insurance policy can vary on what weight management or bariatric and gastric surgery expenses are covered or excluded so it may be easier to have our Gastric. Panniculectomy is considered medically necessary for the individual who meets the following criteria. Does Blue Cross Blue Shield cover weight loss surgery.
ER accidental injury 175 copay per day per. ObesityCoverage strongly feels that morbid obesity is a disease and every insurance company should cover these life saving procedures. Those that do cover the procedure have similar requirements to those of.
Blue Cross Blue Shield Federal Employees Program and Blue Cross Blue Shield Florida covers weight loss surgery. Anthem Blue Cross Blue Shield does cover weight loss surgery but your specific policy must include it in order for you get it covered. This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial.
Use the contact information at the bottom of this page to find out if your policy has a specific exclusion for weight loss surgery. Weight loss success stories. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan.
However some policies do specifically exclude weight loss surgery. Key features of each program are listed below. Wondr TM formerly Naturally Slim and Real Appeal.
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