Does Anthem Blue Cross Cover Weight Loss Surgery

by Patty Allen

Introduction

How long does it take BCBS to approve bariatric surgery? Blue Cross Blue Shield will take up to 30 days on average to approve your request for bariatric surgery.

How much does gastric sleeve cost in Georgia?

How Much Does a Gastric Sleeve (inpatient) Cost? On MDsave, the cost of a Gastric Sleeve (inpatient) in Atlanta, Georgia, is $13,565. Those on high deductible health plans or without insurance can shop, compare prices and save. Read more about how MDsave works.

Does Blue Cross Blue Shield of Texas cover weight loss programs?

BlueExtrasSM Weight Management Discount Program

As a member of Blue Cross and Blue Shield of Texas (BCBSTX), you and your covered dependents can join Jenny Craig, Seattle Sutton Healthy Eating or, Life Time Fitness to begin a weight management or fitness program and save money at the same time!

How much is weight loss surgery in Arkansas?

Select any of the procedures below to view detailed cost data and provider comparisons.
Procedure Price Range
Gastric Bypass Cost Average $14,700 – $40,400
Gastric Sleeve Cost Average $10,700 – $29,300
Duodenal Switch Cost Average $19,200 – $52,800
Lap Band Surgery Cost Average $4,900 – $13,500
1 more row

What can disqualify you from bariatric surgery?

These are as follows:
Drug and/or alcohol addiction.
Age under 16 or over 75.
History of heart disease or severe lung problems. .
Chronic pancreatitis (or have a history of this).
Cirrhosis of the liver.
Autoimmune disease such as systemic lupus erthyematosus.
Blood disorder which increases your risk of heavy bleeding.
.

Why would I get denied for bariatric surgery?

But why might a patient not qualify for bariatric surgery? BMI: First and most obviously, they simply may not have a BMI that is high enough. A BMI of 35 or more with one or more obesity related conditions or BMI of 40 or greater regardless of obesity related conditions is required to have surgery.

How many years does gastric sleeve last?

Laparoscopic sleeve gastrectomy is a safe and effective procedure, with good results in the short and medium term. Long-term follow-up reveals a tendency to weight regain after approximately 2 years from primary surgery, with the need for revisional surgery in some cases.

How long is recovery from gastric sleeve?

Gastric sleeve recovery at home

Takata says. Patients may resume more vigorous activities after four to six weeks. They must also follow a specific diet.” Patients are also advised to take three to four weeks off from work, depending on their job.

What are the weight requirements for a gastric sleeve?

Bariatric Surgery Requirements
Have a body mass index (BMI) of 35 or higher, or have a BMI between 30 and 35 and an obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.
Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate.

Can I buy insurance to cover bariatric surgery?

Most insurance covers bariatric surgery. Coverage of bariatric surgery is a requirement for all individual, family, and small group insurance policies in 23 states.

Most insurance covers bariatric surgery. Coverage of bariatric surgery is a requirement for all individual, family, and small group insurance policies in 23 states.

Conclusion

No. Obesity is considered a pre-existing condition under the Affordable Care Act (ACA). So, as with all pre-existing conditions, insurance companies cannot make people with high BMIs pay more in premiums.

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