Does Blue Cross Blue Shield Cover Weight Loss Programs

by Patty Allen

Introduction

How long should I wait before undergoing bariatric surgery? From the initial consultation, the average waiting time is 6 to 8 weeks.

Does Blue Cross Complete of Michigan cover bariatric surgery?

Weight loss surgery is covered by Michigan’s Blue Cross Blue Shield. This also applies to Michigan’s Blue Care Network. To be eligible for weight loss surgery coverage, your policy must include coverage. Please note that not all policies include coverage.

How long does it take BCBS II to approve bariatric surgery?

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

How much does a gastric sleeve cost in Arkansas?

Select a procedure below to view detailed cost data and vendor comparisons.
Procedure Price Range
Gastric Sleeve Average Cost $10,700 – $29,300 Free Estimate
Duodenal Switch Average Cost $19,200 – 52,800 $ Free Estimate
Average Cost of Duodenal Change Gastric Banding Surgery $4,900 – $13,500 Free Estimate
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What is a gastric band for weight loss?

Laparoscopic gastric banding is a surgical procedure to help with weight loss. The surgeon places a band around the top of your stomach to create a small pouch to hold the food. The group limits the amount of food you can eat by making you feel full after eating small amounts of food.

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Are weight loss plans covered by insurance?

The Affordable Care Act requires most health insurers to cover obesity screening and counseling as preventive care for adults and children. Dietary advice is also available for adults at increased risk of chronic disease.

Why isn’t obesity 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 force people with a high BMI to pay more premiums.

What can disqualify you from bariatric surgery?

They are:
Drug and/or alcoholism.
Age under 16 or over 75.
History of heart disease or serious lung problems. .
Chronic pancreatitis (or have a history of it).
Cirrhosis of the liver.
Autoimmune disease such as systemic lupus erythrematosus.
Blood disorder that increases the risk of heavy bleeding.
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How much do you have to weigh to see a bariatric doctor?

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 apnea severe sleep. Weigh less than 450 pounds, the maximum weight the hospital X-ray equipment can support.

Is it difficult to obtain approval for the gastric sleeve?

Minimum requirements to qualify for gastric sleeve surgery include: a body mass index (BMI) of 40 or greater, OR a BMI between 30 and 39.9 with a serious obesity-related health condition such as diabetes, high blood pressure, high blood pressure, sleep apnea, high cholesterol, joint problems and many more.

Conclusion

The laparoscopic sleeve gastrectomy is a safe and effective procedure, with good results in the short and medium term. Long-term follow-up reveals a trend of weight regain after approximately 2 years after primary surgery, with the need for revision surgery in some cases.

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