does blue cross blue shield louisiana cover weight loss surgery

Now the plan book that I have states that it will not cover any surgery related to weight loss. Does Louisiana Medicaid Cover Weight Loss Surgery.

Blue Cross Requirements For Weight Loss Surgery Obesity Reporter

You may be able to get part of the costs paid for by insurance even if weight loss surgery isnt covered.

. While Blue Cross does cover most of the weight loss procedures there are a. Adults ages 19 and older diagnosed by their primary care doctor as obese and covered under an eligible policy can get 12 visits per benefit period with their PCP as well as 12 counseling visits with an in-network registered dietitians RD and behavioral health professionals. Lap Adjustable Gastric Bands.

This may not apply to all agencies in LA. Our surgeons perform bariatric surgery at a number of locations. Thats typically determined by a doctor or a medical professional.

Their annual enrollment policy see the picture below has a specific exclusion for weight loss surgery. Does BCBS cover any tests associated with weight loss program. Weight loss surgery facilities are available for you to review.

Those that do cover the procedure have similar requirements to those of. These are the two most popular weight loss surgeries available and are both proven effective procedures. Part of determining if Blue Cross or Blue Shield cover your gastric sleeve surgery is determining you have a Body Mass Index BMI of 35 or greater along with obtaining a written letter detailing all prior attempts at weight loss programs including diet and exercise over the last 5 years.

I was one of the lucky 200 to get chosen for this 5 year study. Depends on your employer. What Weight Loss Procedures Does Blue Cross Cover.

While most of the Blue Cross insurance policies do cover weight loss surgery not all of them do. Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. 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.

See above on Affordable Care Act mandating preventive services coverage including obesity. Or call our office at 504 349-6860. Collectively referred to as BCBSLA have developed these medical policies to serve as general coverage guidelines for determining if a particular treatment procedure or other service may be considered as a covered benefit.

I have BCBS of Louisiana and I was selected for their weight loss study earlier this year and they paid for the entire surgery. Blue Cross Blue Shield of Louisianas HMO Plan Does Not Cover Weight Loss Surgery While most Blue Cross Blue Shield plans have some sort of coverage for weight loss surgery it appears that BCBS of Louisianas HMO does not provide coverage. Blue Cross Blue Shield of Illinois covers 3 weight loss procedures including the Gastric Sleeve Gastric Bypass and Lap-Band assuming your policy includes bariatric surgery.

Blue Cross and Blue Shield of Louisiana and its subsidiary HMO Louisiana Inc. Not passing a psychological exam Not meeting the specified MBI criteria of either 40 and above or 35 or higher with one or more comorbid conditions Not going to an approved nutritionist. NEW ORLEANS WVUE - Governor John Bel Edwards signed a bill ending the 20-year long battle to get bariatric weight loss surgeries covered by insurance for state employees.

Does Blue Cross Blue Shield cover weight loss doctor visits. Blue Cross Blue Shield will then typically cover the cost of the surgery and the associated rehabilitation and. Fortunately as of 2018 Louisiana residents who qualify for state-sponsored healthcare benefits are now able to receive coverage for weight loss surgery.

If Your Policy Does NOT Cover It. Adult Weight Management Benefit. Procedures Blue Cross Does Not Cover.

The answer is yes as long as there is no specific exclusion clause to opt out of this coverage for lower premiums. The Bariatric Surgery Benefit under this Benefit Plan requires prior authorization for pre-operative services as well as the Bariatric Surgery and will be subject to all of the following limitations and requirements. Does BCBS cover weight loss counseling.

I hear that bcbs of la. The weight loss procedures that Blue Cross covers include. Weight loss following the original surgery is less than 50 of pre-operative excess body weight and weight remains at least 30 over ideal body weight.

Bariatric Surgery is a term used to describe a variety of procedures intended to treat severe obesity through surgical means. Surgery Denial Even when a policy covers weight loss surgery for qualifying patients some situations may lead to a denial such as. How about weight loss medications.

Weight loss surgery is a lifetime investment in your health that you cant afford to ignore any longer. However even with valid BCBS bariatric surgery coverage you will. Patients must be overweight and there must be a medical reason for the weight loss.

Weight loss surgery is considered an effective treatment of morbid obesity. One of the first facilities to provide this type of surgery has been the University Medical Center-New Orleans but state healthcare benefits programs in Louisiana. Does Blue Cross Blue Shield cover weight loss surgery.

Posted January 18 2012. I am looking for the right insurance plan to include Lapband surgery. Florida Blue covers several bariatric procedures including the gastric sleeve or sleeve gastrectomy and the gastric bypass.

Some patients will be candidates for Lap-Band surgery which may also be covered by insurance. I am Okay with a waiting period up to a year if necessary. This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial.

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