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Does bcbs of michigan cover bariatric surgery

WebNote: For University of Michigan Premier Care, Premier Care 65 and GradCare members, and for members with MSU products and with Blue Cross® Metro Detroit HMO and BCN AdvantageSM HMO ConnectedCare coverage, see exceptions to the general rule in Section 2: Referral requirements. DME and P&O Authorization is required for all members. WebThe facility’s bariatric surgery program is accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) as a …

Bariatric Surgery Selection Criteria - Blue Cross Blue …

WebSearch for Blue Cross Blue Shield of Michigan and Blue Care Network medical policies, including policies for medical benefit medications. Current and retired/replaced policies … http://www.bcbsm.com/ offic max kyocera ink toner https://boxh.net

Important Information – Blue Care Network Policies and Practices - BCBSM

WebYour Anthem Blue Cross insurance policy covers weight loss surgery unless it states specifically that it excludes it. In order to be pre-approved for the procedure you must … WebCriteria for Bariatric Surgery Approval. Be over the age of 13 if female or 15 if a male. A body mass index (BMI) over 35 and with one co-morbidity including and not limited to high blood pressure, high cholesterol, obstructive sleep apnea or diabetes. For patients under the age of 21, a BMI of 40 or more and one co-morbidity is required. WebJun 4, 2024 · The items below are the minimum necessary for approval of your weight loss surgery. Body Mass Index (BMI) of 40 or greater OR…. a BMI of 35 or greater with at least 2 comorbidities. Primary Care Physician’s Letter. Active Participation and Documentation of non-surgical methods of weight loss. 18 years of age (special consideration if under ... offi crm2

BCN physician-supervised weight loss program procedure

Category:Does Bcbs Cover Bariatric Surgery - SurgeryTalk.net

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Does bcbs of michigan cover bariatric surgery

BCBS of Michigan - Requirements For Weight Loss Surgery

WebOct 23, 2024 · Yes, some Blue Cross Blue Shield plans may not cover bariatric surgery. This will depend on the type of policy you have purchased. However, an exclusion of … WebOct 5, 2024 · The pre-approval requirements for bariatric surgery include: Patient is over the age of 18 at the time of the surgery. Patient should have Body Mass Index of over 40 or over 35 if they suffer from at least two of the following weight-related illnesses: Coronary heart disease. Sleep apnea. Diabetes mellitus.

Does bcbs of michigan cover bariatric surgery

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WebMichigan Health Insurance Plans BCBSM WebThe cost of bariatric surgery depends on your insurance coverage (and deductibles) and the procedure performed. Generally speaking, a patient paying cash for a procedure will pay between $12,500 and $31,000. Will my insurance cover it? Most insurance companies and Medicare cover bariatric surgery; however, every plan differs.

WebBenefit Description Procedures to treat morbid obesity – a condition in which an individual has a Body Mass Index (BMI) of 40 or more, or an individual with a BMI of 35 or more … http://ereferrals.bcbsm.com/bcbsm/bcbsm-auth-requirements-criteria.shtml

WebThe facility’s bariatric surgery program is accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) as a Comprehensive Center, in one of the following: • The applicant facility’s bariatric surgery program has full approval as an MBSAQIP Comprehensive Center. WebSep 6, 2024 · BARIATRIC SURGERY COVERAGE POLICIES –BLUE CROSS BLUE SHIELD COMPANIES Legend Independent Blues Multiple Blues* Premera Anthem Regence Wellmark Highmark CareFirst ... Blue Cross Blue Shield of Michigan MI 4,000,000 7/1/2024 link X X X Horizon Blue Cross Blue Shield of New Jersey NJ …

WebMay 10, 2024 · Tricare does not specifically cover counseling services. You may qualify for an exception if counseling is deemed medically necessary. Surgery. Weight-loss surgery — also known as metabolic or bariatric surgery — is the most effective and enduring treatment for severe obesity, according to the American Society for Metabolic and …

WebSection 13 of the Blue Cross Complete Provider Manual at mibluecrosscomplete.com. If you have any questions, contact your Blue Cross Complete provider account executive or call Provider Inquiry at 1-888-312-5713. June 2024 Blue Cross Complete of Michigan LLC is an independent licensee of the Blue Cross and Blue Shield Association. Complete … myer highpoint hoursWebSep 4, 2024 · Yes, bariatric surgery in health insurance has a waiting period of usually 2 to 4 years. Which means, if you want to cover your expenses for bariatric surgery you will have to wait for 2 years from the start of your policy. So, it is always advisable to opt for such a benefit with your first health insurance policy itself. myer hobart hoursWebIf you have an HMO or POS plan, there are some additional services you'll need approval for. Here are some examples: Procedures that may be cosmetic, such as removing scars or excess tissue from your eyes or abdomen. Physical therapy, speech therapy and occupational therapy. Weight-reduction procedures. myer hifihttp://ereferrals.bcbsm.com/docs/bcn/bcn-referral_clinical_review.pdf officom computer e.kWeb• Medical documentation must show a stable weight for a minimum of 6 months post bariatric surgery or weight loss program. • Panniculectomy should not be performed until 18 months after bariatric surgery and only when weight has been stable for at least the most recent six months. officr phone transferred to cellWebBlue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. 3 Blue Distinction Centers for Bariatric Surgery Program Selection … myer highpointoffics in wantage