Blue Cross Blue Shield Weight Loss Surgery

Blue Cross Blue Shield Weight Loss Surgery

Blue Cross Blue Shield Weight Loss Surgery

Blue Cross requirements for weight loss surgery

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Blue Cross requirements for weight loss surgery

Weight loss surgery is recognized as effective treatment of morbid obesity. While some large insurance policies Blue Cross cover weight loss surgery, not all of them do. They include the procedures have terms for Blue Cross Blue Shield of Michigan. It is important that You meet the terms of the following wear coverage the insurance company for the entire process.

The requirements for pre-approval weight loss surgery along with cross blue

Your insurance policy Blue Cross covers weight loss surgery, unless he specifically shows that it does not count it. So pre-approved for the procedure You need to meet following terms:

You need to need between the ages of 18 and 60 years,
 Exceptions to the terms of the age can be done for a patient under 18 years of age if the letter is presented to the carrier by the physician which show that there is a risk of dramatic for the health of the patient if the operation was detained. In addition, the Letter need to contain Info regarding doctor's evaluation of the mental health of the patient and select that patient is ready for operation right,
You need to be on the level of BMI is documented above 40, or
 You need to be on the level of BMI that is documented from more than 35 and suffer from at least one atmosphere of co-morbidities such as:
Hypertension,
Obstructive sleep Apnea,
Impaired glucose tolerance,
Diabetes style 2,
Coronary artery disease.

Evidence-details need to show that the weight loss program others have failed to support reduce the patients or control weight. These programs need to have been used throughout at least the twelve consecutive months to be considered. Some of these programs need to have been prescribed by a doctor not only weight loss surgeon and can include:
Weight Watchers
Jenny Craig
Each medically supervised weight loss program.

What is the weight loss procedure Blue Cover cross?

Weight loss procedure that Blue Cross covers included.

Lap band gastric Adjustable,
Vertical Banded Gastroplasty
Duodenal Switch
Bypass Biliopancreatic,
Gastric sleeve procedure
Gastric Bypass.

Procedure Blue Cross does not cover

While Blue Cross cover some great weight loss procedures there are some that they do not. These include:

Open and Laparoscopic sleeve gastrectomy
Open the appropriate gastric banding
Laparoscopic and open vertical banded gastrectomy

Other considerations

While You go to the weight-loss surgery along with high expectations and hope that it can be successful, there is always possible that it can not be successful like You expect. If it is running and You find the to 2 operation or procedure is required, You may find that Blue Cross Blue Shield provides coverage for the operation to 2 as long as You follow the guidelines after surgery and caused life changes for success and also turned to the bar iatric surgical and other sources to aid additional. Blue Cross Blue Shield cover revision surgery if necessary. They need special documentation which is presented by the doctor including:

• Reasons for failure of the surgery
• Date and type of procedure
• Evidence of patient’s compliance with all post-operative instructions including diet and exercise regimens

Blue Cross Blue Shield does not require that you seek surgery with an in-network surgeon. They do recommend that you utilize their in-network surgeons, however, in order to take advantage of their Center of Excellence. You can obtain a list of these professionals from your Blue Cross Blue Shield agent if you would like to consider these individuals for your surgery. Make sure that the individual that you do choose to work with is able to submit directly to Blue Cross Blue Shield for coverage of your procedure.