Weight Loss Surgery Bcbs

3 bariatric surgery is considered not medically necessary for patients with a bmi less than 35 kg m2.

Weight loss surgery bcbs. In order to be pre approved for the procedure you must meet the following requirements. Your blue cross insurance policy covers weight loss surgery unless it states specifically that it excludes it. Dilation of the stoma is a common reason for weight regain.

Requirements for pre approval of weight loss surgery with blue cross. You need must be between the ages of 18 and 60 years old. 1 gastric restrictive procedures that create a small gastric pouch resulting in weight loss by producing early satiety and thus decreasing dietary intake.

Gastric restrictive surgery is a type of bariatric surgery or weight loss surgery. Surgery for morbid obesity termed bariatric surgery falls into two general categories. Federal employee program fep rx drug resources.

It limits the amount of food you can eat. This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial. Programs that do not involve direct professional supervision including but not limited to online and telephonic weight loss programs do not meet the criteria for a six month structured medical weight loss program.

And 2 malabsorptive procedures which produce weight loss. Pharmacotherapy fda approved weight loss drugs in selected patients may be appropriate. Repeat procedures for repair revision or conversion to another surgical procedure following a gastric bypass or gastric restrictive procedure are.

Regence blue cross blue shield covers 3 weight loss procedures including the gastric sleeve gastric bypass lap band assuming your policy includes bariatric surgery. An independent licensee of the blue cross and blue shield association bariatric surgery requiring reoperation. Bariatric surgery in adolescents bariatric surgery in adolescents may be considered medically necessary according to the same weight based criteria used for adults but greater consideration should be given to psychosocial and.