Does Blue Cross Blue Shield Cover Bariatric Surgery

No blue cross blue shield of nebraska does not make it compulsory for patients to use an in network bariatric surgeon. To view blue cross blue shield of nebraska s policy regarding surgery for morbid obesity visit page 11 of this document.

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Over 750 facilities applied and were evaluated on objective transparent selection criteria with quality business and cost of care components.

Does blue cross blue shield cover bariatric surgery. Therefore blue cross blue shield may cover the procedure at least in part. Weight loss surgery for health plans through your work if you work for a company that has 50 or more full time employees it is completely up to your employer to decide whether or not to cover bariatric surgery under your health plan. 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.

It is important to know that your employer can typically opt out of weight loss surgery insurance coverage for their employees policies. In late 2016 local blue plans invited 1 775 facilities across the country consisting of comprehensive acute care inpatient facilities and ambulatory surgery centers to be considered for the bariatric surgery designation under this program. Opting out will save the company money on premiums.

However the costs of the procedure are lower when using an in network bariatric surgeon. Premera blue cross covers 4 weight loss procedures including the gastric sleeve gastric bypass duodenal switch assuming your policy includes bariatric surgery. In fact most of the blue cross blue shield network has some sort of coverage for weight loss surgery.

Some patients will be candidates for lap band surgery which may also be covered by insurance. Bariatric surgery is sometimes considered a medical necessity. Opting out typically saves the company money on their premiums.

Following are a list of anthem blue cross blue shield plan types and whether they cover bariatric surgery. This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial. Florida blue covers several bariatric procedures including the gastric sleeve or sleeve gastrectomy and the gastric bypass.

If this is the case and you find a second surgery or procedure is needed you might find that blue cross blue shield does provide coverage for a second surgery as long as you followed post operative instructions and made lifestyle changes for success as well as turned to the bariatric surgeon and other sources for additional help. These are the two most popular weight loss surgeries available and are both proven effective procedures. Bear in mind that employers have the option of opting out of any weight loss surgery insurance coverage which means employee health policies will not offer it.

The majority of the blue cross blue shield network has some kind of weight loss surgery coverage.

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