does highmark blue cross blue shield cover weight loss surgery

Patients who qualify for bariatric surgery usually. Highmark Blue Cross Blue Shield is an independent corporation operating under licenses from the Blue Cross and Blue Shield Association.

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Obesity is an increase in body weight beyond the limitation of skeletal and physical requirements as a result of excessive.

. Patient is over the age of 18 at the time of the surgery. The SBC makes it easier for you to understand your health care benefits find out whats covered and compare various plans. Highmark Commercial Medical Policy - Pennsylvania.

To access an SBC please choose a plan from the list above. Body Mass Index BMI of 40 or greater OR. Our vision is to ensure that all members of the community have access to affordable.

Are at least 80 lbs 36 kg overweight. Are between 18 and 75 years old. Your Anthem Blue Cross insurance policy covers weight loss surgery unless it states specifically that it excludes it.

W8MDs biweekly program cost of 5000 covers up to two diet medications if dispensed in office. The items below are the minimum necessary for approval of your weight loss surgery. Forms - Horizon Blue Cross Blue Shield of New Jersey.

Contact your insurance company to confirm all benefits. Highmarks mission is to be the leading health and wellness company in the communities we serve. The policy bulletins on this web site were developed to assist Highmark Blue Cross Blue Shield in administering standard plan benefits and do not constitute a description of plan benefits.

W8MDs insurance physician weight loss program is unique in many ways. 6 of 10 Excluded Services Other. 01012020 - 12312020 Highmark Blue Cross Blue.

This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jerseys Health Insurance Marketplace. Have a history of failed weight loss attempts eg failed diets. Patient should have Body Mass Index of over 40 or over 35 if.

The first requirement is having a clinical need for it. PRE-Operation Weight Loss Surgery QA. Patients must be overweight and there must be a.

Summary of Benefits and Coverage. What this Plan Covers What You Pay For Covered Services. 99 for entire year supply of 1 per Day Bariatric Multivitamins.

A summary of Highmark Blue Shield medical policy guidelines This section summarizes Highmark Blue Shields policy guidelines for a number of services covered by our members. Blue Cross Blue Shield does cover weight loss surgery under some conditions. The pre-approval requirements for bariatric surgery include.

In order to be pre-approved for the procedure you must meet the following. Blue Cross Blue Shield Highmark. In order to be approved by Highmark Health for bariatric surgery in the United States you must meet the following criteria.

A BMI of 35 or greater with at least 2. The policies contained in the FEP Medical Policy Manual are developed to assist in administering contractual benefits and do not constitute medical advice.

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