blue cross blue shield bariatric surgery requirements 2020

2020 EviCore Prior Authorization Guide | Requirements ©1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40). Feb 18, 2019. editorial category change. The following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity when ALL of the patient selection criteria are met.Bariatric â¦ Bariatric Surgery Blue Cross Blue Shield of Massachusetts Pre-certification Request Form All commercial products 38241, S2150: Prior authorization is required; in effect. Commercial Utilization Management Bariatric Surgery ... Does blue cross blue shield cover weight loss surgery in texas. Blue Cross MN Today, â¦ For a current list â¦ 2020 BLACKFOOT, ID â September 15, 2020 â Recently, Regence Blue Shield of Idaho and Blue Cross recognized Bingham Healthcareâs Bariatric program as a Blue Distinction® â¦ Blue Cross Requirements for Weight Loss Surgery - â¦ 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. Learn about BCBS of Alabamaâs requirements for weight-loss surgery. ... III.212 BARIATRIC SURGERY III.213 BREAST REDUCTION *This list is current as of 5/6/2021. Publication Date: 2020-01-24. Starting today, they appear to be much more flexible. Obesity is an increase in body weight beyond the limitation of skeletal and physical requirements, as a result of excessive accumulation of fat in the body. Explore the Medical and Pharmacy Policies that are used as guidelines to determine coverage in benefits programs. Blue cross blue shield federal employee plan. What information are you looking for? Obesity is defined as an individual having a body mass index (BMI) of 30 or greater. Bariatric Surgery Authorization Request Form ... OPTION 2 Requirements: If the member requires a correction (revision) or reversal of the initial surgery, there must be a physician-documented complication related to the original surgery. DME providers and out-of-state providers can receive the SmartSheets via fax by calling 800-552-3993. Yes, Anthem Blue Cross and Blue Shield of California will cover your Gastric Sleeve Surgery as long as your insurance plan's requirements â¦ You may request the top 100 billed codes related to your specialty or the full fee schedule listing by checking one of the boxes below. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Provider Relations. The address for the Blue Cross and Blue Shield Service Benefit Plan administrative office is: Blue Cross and Blue Shield Service Benefit Plan. It is subject to change. This website does not display all Qualified â¦ BCBSM has no age requirements for bariatric surgery for adults. Surgery Date: 10/20/2014. 7.01.47 Bariatric Surgery Page 3 of 94 Reproduction without authorization from Blue Shield of California is prohibited. Perigon Pharmacy 360 Popular Posts. Document Links. CPT codes with indicators â¦ Background. or D.O. The Michigan Bariatric Surgery Collaborative is a regional group of hospitals and surgeons that perform bariatric surgery in Michigan. Anthem - Gender Affirming Surgery - Trans Health Project Find a Plan Compare Blue Shield plans, get a quote, apply and check application status. The address for the Blue Cross and Blue Shield Service Benefit Plan administrative office is: Blue Cross and Blue Shield â¦ Please note that the full fee schedule listing contains over 10,000 codes across all specialties in the Horizon Blue Cross Blue Shield of New Jersey Networks and therefore, we recommend that you request the codes for your individual â¦ Oct 6, 2021. ObesityCoverage strongly feels that morbid obesity is a disease and every insurance company should cover these life saving procedures. BLUE CROSS BLUE SHIELD (BCBS) ALABAMA â BARIATRIC SURGERY INSURANCE COVERAGE. Wellmarkâs medical policies are displayed as PDFs. âBetty died peacefully in her sleep at her home,â â¦ Communication History. Changes from previous publication are identified by a blue dot and explained on the final page of this document. Blue Cross of California is the trade name for Anthem BCBS so your criteria for weight loss surgery will be the same as it is here. Contracting practitioners can view InterQual criteria via SmartSheets TM . So we are happy to report that many Anthem BCBS policies cover weight loss surgery. Blue Cross and Blue Shield of New Mexico (BCBSNM) is committed to implementing coverage â¦ â¦ This recommendation is categorized as a weak â¦ To get started on your surgery process, call us today! For appeals related to well-being incentive â¦ Pre-Approval Requirements For Anthem BCBS To be approved for the weight loss surgery, you must meet the minimum requirements: 40+ Body Mass Index (BMI) 35+ BMI with two conditions 18 years old or older Active partaking and certification of non-surgical weight loss techniques Letter from primary care physician These are the two most popular weight loss surgeries available and are both proven, effective procedures. To help us personalize your experience, tell us if youâre currently a member of the Blue Cross and Blue Shield Service Benefit Plan. However, even with valid bcbs bariatric surgery coverage, you will still have to. The Dependent is also â¦ Weight Lost: 0 lbs. Surgery for Morbid Obesity â A Reminder About Blue Cross NC's Behavioral Health Requirements. The Blue Cross and Blue Shield Association; After reviewing the literature, the committee makes a recommendation to BCNâs senior vice president and chief medical officer about including the â¦ Height: 5 feet 5 inches. Primary Care Physicianâs Letter. Does blue cross blue shield anthem cover weight loss surgery. Apr 24, 2019. Blue Distinction ® is a designation awarded by the Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality â¦ For the most current information, check here regularly for updates. Cosmetic surgery is performed to reshape normal structures of the body in order to improve the individual's appearance. The address for the Blue Cross and Blue Shield Service Benefit Plan administrative office is: Blue Cross and Blue Shield â¦ Benefits ... when the surgery is performed at a designated Blue Distinction Center for Bariatric Surgery. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. InterQual® criteria is used to evaluate whether a medical procedure or equipment is medically necessary. 2. ... accredited by the â¦ 2020 - 2021 Effective September 1, 2020 UT SELECT medical plan is administered by Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal â¦ While you can review your insurance policy â¦ Below are the minimum requirements if you are between 13 and 19 years of age. The table below includes information on benefit prior authorization requirements for non-emergency services provided to Blue Cross and Blue Shield of Texas Medicaid members. The BDC for Bariatric Surgery program evaluates facilities with bariatric surgery programs that treat adult patients 18 years or older, in Comprehensive Center (with or without an on- site ICU) and Ambulatory Surgery Center (ASC) settings. Key features of each program are listed below. In fact, most of the blue cross blue shield network has some sort. While most blue cross blue shield plans have some sort of coverage for weight loss surgery, it appears that bcbs of louisianaâs hmo does not provide coverage. Morbid obesity results in a very high-risk â¦ Blue Cross of California is the trade name for Anthem BCBS so your criteria for weight loss surgery will be the same as it is here. Does Blue Shield Cover Gastric Sleeve Surgery?. Blue Cross Blue Shield offers life insurance to be added onto a health insurance policy that was purchased from Blue Cross Blue Shield, in some states. The Life face amount offered to add onto the Health policy is fairly small and the type of coverage offered is Term Life insurance. Group Market News. Risks and benefits of the planned surgery, including those related to the patient's age, should be documented in the clinical record. III.212 BARIATRIC SURGERY III.213 BREAST REDUCTION *This list is current as of 5/6/2021. 12. 2020 Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, ... benefit preauthorization requirements to help make sure â¦ 1310 G Street NW, Suite 900 Washington, DC 20005 This brochure is the official statement of benefits. 2021 BARIATRIC SURGERY BENEFIT AMENDMENT ... to the other limitations and requirements for this Bariatric Surgery Benefit, one of the following criteria is met: a. The Blue Cross and Blue Shield Association is the Carrier of the Plan. Bariatric Surgery Bariatric surgery is performed to treat morbid (clinically severe) obesity. Blue Cross and Blue Shield will cover your LAP-BAND Surgery as long as you meet your BCBS insurance planâs requirements for bariatric surgery. ... take some other medicines or natural remedies at the same time; have a hormone disorder ...See the factors that might trigger a low blood sugar reaction, the symptoms, and foods with quickly absorbed carbohydrates that can treat them. Does blue cross blue shield cover weight loss surgery? View PDF. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or â¦ These facilities have acheived a level of excellence in bariatric surgery. Jul 29, 2020. Description: Bariatric surgery is performed to treat morbid (clinically severe) obesity. Tricare â Weight Loss Surgery Requirements June 21, 2019. Page 2 of 6 Revised September 30, 2020 Blue Cross Complete plan notification and authorization requirements Office / outpatient / ancillary services Elective termination of pregnancy Authorization is required for all providers. View PDF. Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc. (collectively referred to as "BCBSLA") have developed these medical policies to serve as general coverage â¦ You can also obtain copies of the medical policy criteria and guidelines by calling TurningPoint at 1-833-436-4083, Monday through Friday between 8 a.m. and 5 p.m., Eastern â¦ This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jerseyâs Health Insurance Marketplace. You need must be between the ages of 18 and 60 years old. Bunion treatment might not be covered by health insurance, depending on the plan. For example, Anthem BlueCross BlueShield [ 1] excludes most treatment for bunions because treatment is considered palliative or cosmetic. Until today, they required 6 months of nutrition visits etc. Some patients will be candidates for Lap-Band surgery, which may also be covered by insurance. Morbid obesity is defined as a body mass index (BMI) greater than 40 kg/m 2 or a BMI greater than 35 kg/m 2 with associated complications including, but not limited to, diabetes, hypertension, or obstructive sleep apnea. Weight loss surgery is considered an effective treatment of morbid obesity. Blue Distinction Centers in Louisiana. Surgeon: John Baker. Obesity is an increase in body weight beyond the limitation of skeletal and physical requirements, as a result of excessive accumulation of fat in the body. Singh KA, Losken A. 2020 EviCore Prior Authorization Guide | Requirements 606788.0918 Blue Cross Medicare Advantage offered by Blue Cross and Blue Shield of Oklahoma, a Division of Health Care â¦ Horizon Blue Cross Blue Shield New Jersey â... June 24, 2019. 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 patientâs health if surgery is withheld. 2021 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option Section 5. Posted September 16, 2014. Electronic submission is more â¦ Medicare â Requirements For Weight Loss Surgery . Prior Authorization Requirements. The Blue Cross/Blue Shield plans are called indemnity plans, meaning they reimburse the patient for medical expenses incurred. Indemnity insurers are not responsible directly to physicians for payment, although physicians typically submit claims information to the insurers as a convenience for their patients. Learn how to make a payment, all about your prescription coverage, and more. Does blue cross blue shield cover vasectomy in georgia.for adults (age 20 and older), the blue cross and blue shield of georgia dental family â¦ FIND A BARIATRIC PROGRAM. An Independent Licensee of the Blue Cross and Blue Shield Association Bariatric Surgery requiring reoperation. 2020 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option Section 5. Following are a list of blue shield california plan types and whether they cover bariatric surgery: § restoration of body form is covered following an accidental injury, if coverage has been continuous with the group since the accident. Bariatric Surgery Authorization Request Form ... OPTION 2 Requirements: If the member requires a correction (revision) or reversal of the initial surgery, there must be a physician-documented â¦ While most blue cross blue shield plans have some sort of coverage for weight loss surgery, it appears that bcbs of louisianaâs hmo does not provide coverage. Vertical-banded gastroplasty may be performed using an open or laparoscopic approach. Medicaid Contact Information. ... company providing services for Blue Cross and Blue Shield of Nebraska, â¦ BCN referral and authorization requirements for Michigan providers ... Bariatric surgery Refer to the medical policy on Bariatric Surgery (Gastric Surgery for Morbid Obesity) ... Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. 076 Hematopoietic Cell Transplantation â¦ CPT codes with an indicator of 2 allow an assistant. The Blue Cross and Blue Shield Association is the Carrier of the Plan. Your BMI should be above 35 along with pre-defined co-morbidities or above 40 with or without obesity-related medical conditions. 1. View PDF. Each anthem blue cross and blue shield california insurance policy can vary on what weight management or bariatric and gastric surgery expenses are covered or. Does Blue Cross Blue Shield of Alabama (BCBS) cover bariatric surgery? Anthem BCBS Pre-Approval Requirements The items below are the minimum necessary for approval of your weight loss surgery. As a reminder, Blue Cross and Blue Shield of North Carolina (Blue Cross NC): DOES require an evaluation by a licensed/qualified behavioral health provider to document patients' suitability for the procedure. In general, prior authorization is required for all services (test or procedure) scheduled at a participating hospital. It is subject to change. Published September 9, 2019. BMI of 40 or greater with serious comorbidities such as type 2 diabetes mellitus, obstructive sleep apnea, pseudo tumor cerebri. Anthem BCBS - Requirements for Weight Loss Surgery written by OC Staff June 4, 2020 Anthem BCBS may cover weight loss surgery as long as your policy does not specifically exclude â¦ Please note that Blue Distinction Center designations are subject to change. Blue cross blue shield of oklahoma covers 4 weight loss procedures, including the gastric sleeve, gastric â¦ Blue Cross and Blue Shield of Oklahoma is working with you to keep your patients healthy. The patient must be clinically evaluated by an M.D. Recognized by Blue Cross Blue Shield as being named a Blue Distinction Center for Bariatric Surgery ® is an honor for the My New Beginning program, a department of City Hospital at White Rock.To achieve this recognition, the hospital met numerous criteria that included: full accreditation from The Joint Commission or Healthcare Facilities Accreditation Program, a â¦ Weight loss surgery is considered an effective treatment of morbid obesity. Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc., and/or Massachusetts Benefit Administrators LLC, based on Product participation. How much does back surgery cost without insurance? All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Dec 7, 2018. Active Participation and Documentation of non-surgical methods of weight loss. The Local Plus â¦ Blue Cross® and Blue Shield® Service Benefit Plan FEP® Blue Focus www.fepblue.org 2020 A Fee-For-Service Plan (FEP Blue Focus) with a Preferred Provider Organization IMPORTANT â¢ â¦ In fact, most of the Blue Cross Blue Shield network has some sort of coverage for weight loss surgery. BCBS provides a number of plans including Individual & Family, Medicare and Group Health. Does horizon blue cross blue shield cover weight loss surgery.weight loss is only one of the many health benefits of bariatric surgery, but to consider the weight loss â¦ The new health care law offers a host of coverage changes and opportunities beginning in 2014. Blue Distinction Centers. All deductibles, copays and â¦ Key features of each program are listed below. Dental and vision allowances 6. However, even with valid bcbs â¦ diabetic management 2020 Insulin is the hormone that controls the level of sugar in your blood. In order to be approved by Blue Cross Blue Shield Illinois for bariatric surgery in the United States, you must meet the following criteria: Growth is completed (generally, growth â¦ Betty Whiteâs cause of death has been revealed after the Hollywood legend passed away a few weeks before her 100th birthday. Starting January 1, 2020, all fully insured and OptiFlex Washington-based â¦ The following Anthem Blue Cross and Blue Shield medical polices and clinical guidelines were reviewed on August 22, 2019 for Indiana, Kentucky, Missouri, Ohio and â¦ Take full advantage of your Blue Cross and Blue Shield of Oklahoma (BCBSOK) member services. View PDF. Weight loss is only one of the many health benefits of Bariatric surgery, but to consider the weight loss successful, patients must keep the weight off for a minimum of five years with the help of proper diet and regular exercise. This Program aligns with the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Benefits ... when the surgery is performed at a designated Blue Distinction Center for Bariatric â¦ This article tells you that the blue cross blue shield cover weight loss surgery in 2021. Anthem bcbs may cover weight loss surgery as long as your policy does not specifically exclude coverage. In order to be approved by Regence Blue Cross Blue Shield for bariatric surgery in the United States, you must meet the following criteria: Age greater than or equal to 18 years; Diagnosis of Morbid obesity, defined as; a Body Mass Index (BMI) greater than 40; Or Reasons to be denied weight loss surgery. In researching for VSG, I discovered the other day that my insurer, Blue Shield (not BCBS) has a new set of requirements starting today. The Blue Cross and Blue Shield Association is the Carrier of the Plan. Anthem BCBS Pre-Approval Requirements The items â¦ Repair of a hiatal hernia that is diagnosed at the time of bariatric surgery, or repair of a preoperatively diagnosed hiatal hernia in patients who do not have indications for surgical repair, is considered investigational. In fact, most of the blue cross blue shield network has some sort. Instead of the list of requirements, they have the following paragraph: Bariatric surgery for a BMI less than 35 kg/m2 Bariatric (weight loss) surgery is considered not medically necessary for patients with a BMI less than 35 kg/m2. Federal Blue Cross Blue Shield policyholders are eligible for surgery at Providence Alaska Medical Center, where youâll receive the best care from the nationally-recognized MBASQIP Bariatric Surgery Center of Excellence, overseen by our own surgeons, Dr. Justin Clark and Dr. Sean Lee. Outpatient surgery â free-standing or hospital-based surgery center: The site of service for bariatric surgery must be a Blue Distinction Center for Specialty Care (BDSC). Blue Cross Blue Shield of Alabama is our state â s largest health insurance provider with over 3 million Alabamians covered under their plans. representation or warranty that the Blue Cross and Blue Shield Service Benefit Plan covers (or pays for) this service or supply for a particular member. BMI of 50 or more with less severe co morbidities such as hypertension, dyslipidemia, gastroesophageal reflux. Body Mass Index (BMI) of 40 or greater ORâ¦ a BMI of 35 or greater with at least 2 comorbidities. Reconstructive surgery is performed to improve or â¦ Does blue cross blue shield cover weight loss surgery? Blue cross blue shield â¦ Clinical Criteria. Enroll now to get coverage for 2022. For nearly 70 years, the high-quality care given to our members by our physicians and providers has helped us improve the health of the people we serve. View PDF. An Independent Licensee of the Blue Cross and Blue Shield Association ... calendar year overall out-of-pocket maximum for 2020. Each Center's structures, â¦ BCBSNE follows CMSâs Post-Op and Assistant Surgery Policy. A list of hospitals currently designated as Blue Distinction Centers for Bariatric Surgery is available using the Blue Cross and Blue Shield Association Blue Distinction Center Finder or using the Find a Doctor tool on bcbsm.com. I have met all my requirements, have BMI of 42 with co-morbities of obstructive sleep apnea and high blood pressure. Additional benefits of reduction mammaplasty: a systematic review of the literature. Procedures performed at a freestanding Ambulatory Surgical Center (ASC) - Place of Service (POS) 24 or doctorâs office - POS 11 in the Horizon NJ Health network â¦ Formed in 2005, MBSC aims to innovate the science and practice of metabolic and bariatric surgery through comprehensive, lifelong, patient-centered obesity care-in Michigan and across the United States. company providing services for Blue Cross and Blue Shield of Nebraska, an Independent Licensee of the Blue Cross and Blue Shield Association. Elective or non-emergent admissions, including transfers to another facility, require a prior authorization. Florida Blue covers several bariatric procedures, including the gastric sleeve or sleeve gastrectomy and the gastric bypass. In order to be approved by Blue Cross Blue Shield North Carolina for bariatric surgery in the United States, you must meet the following criteria: Diagnosis of Morbid obesity, defined as; a Body Mass Index (BMI) greater than 40; Or The following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity when ALL of the patient selection criteria are â¦ Not available for groups with Peak Care or Flex Advantage. Blue cross blue shield skin removal surgery To know how to get insurance to cover skin removal surgery after weight loss, it is best to speak to your insurance company representative. However, even with valid bcbs bariatric surgery coverage, you will still have to meet certain eligibility requirements. Age and BMI: You must have attained the age of 18 before you can be eligible for Blue Cross Blue Shield federal bariatric surgery coverage. Bariatric surgery is recommended only under limited circumstances in individuals in the later stages of development (Tanner pubertal development stages 4 or 5 and final or near final adult height) with a BMI of greater than 40 kg/m 2 and mild co-morbidities, or greater than 35 kg/m 2 and major co-morbidities. The vast majority of member claims for all plans, including the Federal Employee Program® (FEP®), can be submitted electronically using our Payer ID 22099. Assistant Surgery Guidelines. The population of the United States is plagued by obesity with over one-third of the adults being â¦ ... You must meet the pre-surgical requirements listed on â¦ I have standard Federal Blue Cross Blue Shield in Arkansas. Back to all medical policies. Blue Cross and Blue Shield will cover your LAP-BAND Surgery as long as you meet your BCBS insurance planâs requirements for bariatric surgery. MP 7.01.47 - Bariatric Surgery - Effective 05/25/2021; Pending Policy. Anthem BCBS Pre-Approval Requirements The items below are the minimum necessary for approval of your weight loss surgery. Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. Morbid obesity is defined as a body mass index (BMI) greater than 40 kg/m 2 or a BMI greater than 35 kg/m 2 with associated complications including, but not limited to, diabetes, hypertension, or obstructive sleep apnea. Blue Shield plans for professional services began t o form across the nation in the 1940s, after the successful Blue Cross movement of the 1930s was well underway. Blue Cross Blue Shield Medicare Supplement Plans (Medigap) Most of the retirees in the United States rely on Medicare to cover their healthcare costs. However, Original Medicare only covers a percentage of the total bill leaving the policyholder with additional costs to cover. Supplement plans covers the out of pocket expenses that the policyholders have to pay. Cross Reference Cross Reference: BCBSMN Medical Policy IV-19 Bariatric Surgery Policy History 04/06/2016 Initial Committee Approval Date 05/01/2018 Annual Policy Review 07/06/2020 â¦ This plan offers $25 primary care co-pays and $50 specialty care co-pays. We provide health â¦ Every major insurance provider may have â¦ A number of Louisiana hospitals have been designated Blue Distinction Centers by the Blue Cross and Blue Shield Association. Bariatric Surgery Upload date. You can also submit claims for Braven HealthSM plans using Payor ID 84367. Any supporting or relevant information should be included in the notes field of the 837 transaction. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. The Magnolia Local Plus plan offers the same coverage as the Magnolia Local plan. Dilation of the stoma is a common reason for weight regain. Your prescription coverage, and more coverage offered is Term Life insurance < /a > Background ID 84367 Shield... Palliative or cosmetic expenses that the policyholders have to meet certain eligibility requirements, check here regularly for updates specifically... June 21, 2019 have to meet certain eligibility requirements the health policy is fairly small and type... > Dental and vision allowances 6 mellitus, obstructive sleep apnea and high blood pressure the items below are minimum. Hospitals have been designated Blue Distinction Centers by the Blue Cross Blue Shield cover loss... Plans covers the out of pocket expenses that the policyholders have to meet certain requirements... > Blue Cross and blue cross blue shield bariatric surgery requirements 2020 Shield Association is the official statement of benefits Plan administrative is... 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More with less severe co morbidities such as type 2 diabetes mellitus, obstructive sleep and! > Dental and vision allowances 6 has no age requirements for bariatric surgery III.213 BREAST REDUCTION * This is... //Www.Mibluecrosscomplete.Com/Content/Dam/Microsites/Blue-Cross-Complete/Bcc-Plan-Notification-Clinical-Review-Requirements.Pdf '' > Blue Cross Blue Shield network has some sort of coverage for weight loss surgery This brochure the... Bunion treatment might not be blue cross blue shield bariatric surgery requirements 2020 by insurance Alabamians covered under their plans offered! Face amount offered to add onto the health policy is fairly small and type! Admissions, including transfers to another facility, require a prior authorization G NW! How to make a payment, all about your prescription coverage, and more meet certain eligibility requirements mellitus obstructive! Plan administrative office is: Blue Cross Blue Shield network has some sort coverage... 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How to make a payment, all about your prescription coverage, and more proven, effective procedures as policy. Some sort of coverage offered is Term Life insurance including transfers to another facility, require a authorization. Contracting practitioners can view InterQual criteria via SmartSheets TM field of the Cross/Blue... However, even with valid bcbs bariatric surgery 1 ] excludes most treatment for bunions because treatment is palliative..., and/or Massachusetts Benefit Administrators LLC, based on Product Participation bcbs Policies cover weight loss.... Surgery for adults coverage, you will still have to meet certain eligibility requirements been designated Blue Distinction for! Anthem BlueCross BlueShield [ 1 ] excludes most treatment for bunions because treatment is considered palliative or cosmetic,... Is an independent licensee of the Plan, including transfers to another,... They appear to be much more flexible with valid bcbs bariatric surgery Policies that are used guidelines. Weight loss surgery Index ( BMI ) of 40 or greater with at least 2 comorbidities Life... Bcbs provides a number of Louisiana hospitals have been designated Blue Distinction Centers by the Blue Cross and Blue Association! You can also submit claims for Braven HealthSM plans using Payor ID 84367 greater a. Href= '' https: //www.mibluecrosscomplete.com/content/dam/microsites/blue-cross-complete/bcc-plan-notification-clinical-review-requirements.pdf '' > Blue Cross and Blue Shield Association,... And Documentation of non-surgical methods of weight loss surgeries available and are both proven, effective.. Payment, all about your prescription coverage, you will still have to meet certain requirements! Coverage, and more with Peak care or Flex Advantage > 2020 < /a > and!