Does Blue Cross Blue Shield Cover Weight Loss Surgery

by Penny Alba

Introduction

The program supports your mindset and fitness during the waiting period, usually 12 months, so you can maximize your chances of long-term success after bariatric surgery.

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.

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.

Am I entitled to bariatric surgery in New York?

Over 18 years old. Body mass index (BMI) over 40 or over 35 with an obesity-related medical condition (such as diabetes, high blood pressure, severe joint pain or reflux).

Is the gastric sleeve painful?

Although pain sensitivity varies from patient to patient, most of our patients report minimal pain several hours after surgery and take almost no pain medication the next day.

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.
.

Will they deny me bariatric surgery?

BMI of 35 or greater with one or more obesity-related conditions or a BMI of 40 or greater regardless of obesity-related conditions is required to undergo surgery. This is an absolute rule that ensures that the patient really needs bariatric surgery and cannot benefit from other interventions.

Can I take out insurance to cover bariatric surgery?

Most insurance covers bariatric surgery. Bariatric surgery coverage is required for all individual, family and small group insurance policies in 23 states.

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.

How much does gastric bypass surgery cost in Michigan?

Paying for your bariatric surgery

How much does bariatric surgery cost? The cost of bariatric surgery depends on your insurance coverage (and deductibles) and the procedure performed. Generally speaking, a patient who pays cash for a procedure will pay between $12,500 and $31,000.

Conclusion

To be eligible for bariatric surgery, you must be between the ages of 16 and 70 (with some exceptions) and be morbidly obese (weigh at least 100 pounds above your ideal body weight and have a BMI of 40).

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