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Federal bcbs bariatric surgery requirements

WebBlue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. Blue Distinction Centers for Bariatric Surgery Program Selection … WebFederal Employee Program members only require prior approval* or pre-certification* on the following services, which are based on medical necessity. For a complete quote of …

Bariatric Surgery - Regence

Web1 This facility indicated voluntarily that Radiologists, Anesthesiologists, Pathologists, Hospitalists, and Intensivists who provide services for elective (scheduled) procedures related to this Blue Distinction Specialty Care program are in the local Plan's BlueCard PPO network. 2 This is a freestanding surgery center that performs outpatient ... WebBlue Distinction ® Centers and Blue Distinction ® Centers+ for Bariatric Surgery offer a full range of bariatric surgery care, including: surgical post-op outpatient follow-up and patient education These centers have lower complication rates and fewer readmissions. bluphr https://therenzoeffect.com

Do Blue Cross & Blue Shield Cover Gastric Sleeve?

WebBariatric Surgery Bariatric surgery is performed to treat morbid (clinically severe) obesity. Morbid obesity is defined as a body mass index (BMI) greater than 40 kg/m2 or a BMI greater than 35 kg/m2 with associated complications including, but not limited to, diabetes, hypertension, or obstructive sleep apnea. Morbid WebSurgery date moved from 5/10/23 to 4/12/23😬 I'm super excited and am quite happy actually that I don't have any longer to deal with the anxiety of anticipation. 32. 9. … WebSurgery date moved from 5/10/23 to 4/12/23😬 I'm super excited and am quite happy actually that I don't have any longer to deal with the anxiety of anticipation. 32. 9. I_heart_naptime • 6 days ago. clermont flooring

18 - FEP Blue Focus

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Federal bcbs bariatric surgery requirements

Highmark Health Weight Loss Surgery - Bariatric Surgery Source

WebJun 4, 2024 · Anthem BCBS – Requirements for Weight Loss Surgery. Anthem BCBS may cover weight loss surgery as long as your policy does not specifically exclude coverage. … WebThe following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity when ALL of the patient selection criteria are met.Bariatric surgery should be performed in appropriately selected patients by surgeons who are adequately trained and experienced in the specific techniques used and in institutions …

Federal bcbs bariatric surgery requirements

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WebSep 6, 2024 · BARIATRIC SURGERY COVERAGE POLICIES –BLUE CROSS BLUE SHIELD COMPANIES Plan Geography Covered Lives Effective Date Policy T M Y B P A Highmark Blue Shield PA: 21 counties in central PA, Lehigh Valley 1,100,000 8/24/2024 link X X X(13-18 for girls, 15-18 for boys) Blue Cross Blue Shield of Kansas City … WebReduction mammaplasty may be considered medically necessary for the treatment of macromastia when well-documented clinical symptoms are present, including but not limited to: Documentation of a minimum 6-week history of shoulder, neck, or back pain related to macromastia not responsive to conservative therapy, such as an appropriate support …

WebThe Blue Cross and Blue Shield Association does not intend by the FEP Medical Policy Manual, or by any particular medical policy, to recommend, advocate, encourage or … WebInclusion criteria included previously verified BMI ≥35 kg/m2 and current BMI ≥33.0 kg/m2, hemoglobin A1c (HbA1c) ≥6.5% or use of antidiabetic medications with HbA1c ≥6.1%, …

WebMedical Policies & Clinical UM Guidelines. There are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These documents are available to you as a ... WebJun 19, 2015 · BMI: 30.4. Posted June 20, 2013. Hi! I'm new to this entire process. I've been doing lots of research on the VSG and I feel it is my best long-term, weight loss option. I …

Web18. 2024 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus. Section 3. How You Get Care. Page 18. Bariatric and Transplant care benefits are limited to …

WebPolicies, Guidelines & Manuals. We’re committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual and support for delivering benefits to our members. blu phone with fingerprint scannerWeb2024 STANDARD PRECERTIFICATION REQUIREMENTS –for most BCBSAZ members Provider assistance for BCBSAZ members: 602-864-4320or 1-800-232-2345 For members enrolled in eviCore precertification program: online request tool For BlueCard (out-of-area) members: 1-800-676-2583 blu play storeblup insurance