![]() Consultation and recommendation from a qualified weight loss surgeon may be a mandatory requirement for pre-approval.If you have an individual policy, check the gastric bypass pre-approval requirements for your Anthem Blue Cross Blue Shield.Check whether your employer has opted-in for Anthem Blue Cross Blue Shield gastric bypass coverage. ![]() Here are some of the key issues to keep in mind for your coverage. The nationwide Anthem BCBS network recognizes obesity as a serious illness and offers some form of gastric bypass coverage under most of its health plans. Yes, Anthem Blue Cross Blue Shield covers gastric bypass surgery, provided your health plan does not particularly exclude this procedure. Related: How much does gastric sleeve cost? Does anthem blue cross blue shield cover gastric bypass They may also have to conduct a dietary assessment and provide you nutrition counseling. Risk awareness: Insurance providers in many states will require your bariatric surgeon requesting Blue Cross Blue Shield gastric sleeve coverage to explain to you the risks and benefits involved.The insurer may also require details of your non-surgical weight loss efforts and your psychiatric evaluation report. Meet the conditions: The process to obtain Blue Cross Blue Shield gastric sleeve coverage will include determining whether your body mass index falls within the required range.This will give you clarity on actual amount of coverage. Talk to your insurance agent to verify the available coverage for you by filling out the free, no-obligation verification form. Coverage can vary: Each Blue Cross and Blue Shield health plan can vary regarding which gastric sleeve surgery expenses are covered.Therefore, as long as you meet the eligibility conditions, you should be able to obtain approval from your insurance company without much difficulty. Gastric sleeve is currently the most popular form of bariatric surgery with an excellent success rate. Related: Financing weight loss surgery: Bariatric financing options Blue cross blue shield gastric sleeveīlue Cross Blue Shield gastric sleeve is a covered procedure under many types of insurance plans for qualified individuals. These limits are reset each calendar year, so talk to your insurer ahead of time for more clarity. Out-of-pocket costs: Even when your Blue Cross Blue Shield covers bariatric surgery, your individual health plan may have co-pays, deductibles, and maximums for out-of-pocket expenses.The coverage amount can vary depending on your type of policy and benefits you have chosen. Types of coverage: If your Blue Cross Blue Shield covers bariatric surgery, it is still important to know what types of weight loss procedures and obesity treatments are covered under your plan.Review the exclusions section in your health policy to know whether weight loss surgery is a covered benefit or not. Policy exclusions: If you want to know does Blue Cross Blue Shield cover bariatric surgery, and are there any exclusions in your plan, call your insurer or talk to your employer.It’s vital to note, however, that even when you are paying the premiums for it, you will receive actual coverage only if you complete the necessary documentation for approval. Yes, Blue Cross Blue Shield covers bariatric surgery, subject to the type of insurance policy you have chosen. Many patients who have inadequate or no insurance coverage for weight loss surgery now seek safe and affordable offshore medical tourism options.ĭoes blue cross blue shield cover bariatric surgery?.However, an exclusion of weight loss surgery from your BCBS plan should not discourage you from exploring various low cost self-pay options.This will depend on the type of policy you have purchased. ![]() Yes, some Blue Cross Blue Shield plans may not cover bariatric surgery. In some cases, adjustable gastric band surgery (lap band) is also covered.Ĭan a BCBS plan exclude bariatric surgery coverage?.The insurance companies in all the states cover these two procedures under Blue Cross Blue Shield bariatric surgery plans.Gastric sleeve and gastric bypass are two of the leading procedures that are considered the safest and most definitive solutions to morbid obesity.The Blue Cross Blue Shield weight loss surgery program offers coverage for a number of bariatric procedures. Types of weight loss surgery covered under BCBS ![]()
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