United Healthcare: Blue Cross Blue Shield Federal Bariatric Surgery Requirements 2020

In order to be approved by Blue Cross Blue Shield Tennessee for bariatric surgery in the United States you must meet the following criteria. The Blue Cross and Blue Shield Association does not intend by the FEP Medical Policy Manual or by any particular medical policy to recommend advocate encourage or discourage any particular medical technologies.

Anthem Blue Cross Blue Shield Insurance For Bariatric Surgery Requirements

602-864-4320 or 1-800-232-2345 Benefit Plan Names.

Blue cross blue shield federal bariatric surgery requirements 2020. You need must be between the ages of 18 and 60 years old. From the FSA that starts over. Patients older than 60 may be considered if it is documented in the medical record that the patients physiologic age and co-morbid conditions result in a positive risk-benefit ratio.

Please review the terms of use and privacy policies of. Body Mass Index BMI of 40 or greater OR a BMI of 35 or greater with at least 2 comorbidities. A body mass index BMI of 40 or more OR a BMI between 30 and 399 with a serious obesity-related health problem like diabetes high blood pressure sleep apnea high cholesterol joint problems or others OR a BMI of 30 to 40 with or without health issues for the gastric balloon procedure.

The Blue Cross and Blue Shield Association does not intend by the FEP Medical Policy Manual or by any particular medical policy to recommend advocate encourage or discourage any particular medical technologies. No verbal statement can modify or otherwise affect the benefits. If you have a medical FSA and planned to spend your copays etc.

Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. 1310 G Street NW Suite 900 Washington DC 20005 This brochure is the official statement of benefits. Medical decisions relative to medical technologies are to be made strictly by memberspatients in consultation with their health care providers.

2021 PRECERTIFICATION and PRIOR APPROVAL REQUIREMENTS for FEP FEP provider assistance. This expansion was based on the results of a prospective single-arm nonrandomized 5-year study sponsored by the. Bariatric surgery may be indicated for patients 18 to 60 years of age.

Routine foot care if you are under active disease. If individual has not had bariatric surgery the member must have maintained a stable weight for a minimum of 6 months. Anthem BCBS Pre-Approval Requirements The items below are the minimum necessary for approval of your weight loss surgery.

Standard and Basic Options FEP Blue Focus Air ambulance transport for non-emergency care 602-864-4102 or 1-800-345-7562 Applied behavior analysis. Bariatric surgery treatment for a metabolic or peripheral vascular Chiropractic care 20 visit limitcalendar year Dental care Adult Hearing aids Non-emergency care when traveling outside the US. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that the Blue.

You will be going to a new website operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. BCBS Federal Employees Program Pre-Approval Requirements The items below are the minimum necessary for approval of your weight loss surgery. OR If individual has had bariatric surgery and experienced significant weight loss a panniculectomy should not be performed until at least 18 months after surgery and.

Body Mass Index of 40 or greater OR BMI 35 or more with comorbidities. Some bariatric procedures may include both a restrictive and a malabsorptive component. Bariatric Surgery with BMI less than 35 kgm 2.

Medical decisions relative to medical technologies are to be made strictly by memberspatients in consultation with their health care. 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. Your benefits change on January 1 -- so if you have deductible etc that starts over.

1 gastric -restrictive procedures that create a small malabsorptive procedures which produce weight loss due to malabsorption by altering the normal transit of ingested food through the intestinal tract. Individual is 18 years of age or older Diagnosis of Morbid obesity defined as a Body Mass Index BMI greater than 40. Bariatric surgery falls into two general categories.

On February 16 2011 the FDA approved an expanded indication for the Lap-Band device to include individuals with a BMI at least 30 kgm 2 with one or more obesity related comorbid conditions. The address for the Blue Cross and Blue Shield Service Benefit Plan administrative office is. The Blue Cross and Blue Shield Association is the Carrier of the Plan.

Exceptions to the age requirement can be made for patients under 18 years old if a letter is provided to the carrier by the physician stating that there is a dramatic risk for the patients health if surgery is withheld. 602-864-4102 or 1-800-345-7562 Weekends and holidays. Blue Distinction Centers for Bariatric Surgery The Blue Distinction Centers for Bariatric Surgery program Program will evaluate facilities with a bariatric surgery program that provides treatment for adult patients 18 years or older in Comprehensive Centers with or without outpatient capabilities and Ambulatory Surgery Centers ASC settings.

Blue Cross and Blue Shield Service Benefit Plan. In order to be approved by Blue Cross Blue Shield Michigan for bariatric surgery in the United States you must meet the following criteria. The protection of your privacy will be governed by the privacy policy of that site.

If you are not mentally ready to have your surgery after you complete your requirements then wait to start your requirements. The minimum bariatric surgery qualifications include.

Bcbs Fed And Florida Blue S Weight Loss Surgery Criteria