Does Blue Cross And Blue Shield 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.

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

Which is better gastric sleeve or gastric bypass?

The Gastric Bypass carries more risk but has more rewards for patients who need to lose 150 plus pounds, whereas the Gastric Sleeve surgery has a lower complication rate but also the patients who have success typically need to lose 100 or fewer pounds with the gastric sleeve.

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.

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.

Are weight loss plans covered by insurance?

The Affordable Care Act requires that most health insurers cover obesity screening and counseling as preventive care for adults and children. Diet counseling is also available for adults at higher risk for chronic disease.

Why is obesity not covered by insurance?

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.

What is the minimum weight for weight loss surgery?

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.

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.

Conclusion

The program supports your mindset and physical fitness during the waiting period, generally 12 months, such that you optimise your chances for long term success after weight loss surgery.

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