#Anthem blue cross weight loss surgery how to#
#Anthem blue cross weight loss surgery full#
#Anthem blue cross weight loss surgery professional#

Weight-loss surgery can provide a tool to help restrict how much food you take in while teaching you how to eat healthier for the rest of your life.ĭr. Losing a significant amount of weight can reverse some obesity-related diseases and increase your lifespan. Obesity can impact every aspect of your health. If you are searching for a bariatric surgeon that accepts Anthem Blue Cross PPO insurance, come see us at Danny Shouhed, MD. Many healthcare insurance policies cover bariatric surgery for obese patients, making it an affordable option. If you have been struggling with your weight and need medical help to achieve a healthier life, weight-loss surgery may be an option.

#Anthem blue cross weight loss surgery full#

The full statement on Bariatric Surgery can be found here.Bariatric surgery can have a tremendous effect on your health. BCBS of Texas’ Weight Loss Surgery Full Coverage Statement BCBS of Texas’ Contact InformationīCBSTX’s contact information is found on their website. You don’t have to but you may save money if you do choose an in-network surgeon and have the procedure at a Blue Distinction Center for Bariatric Surgery. Do I have to use an In-Network Bariatric Surgeon? Yes – Blue Cross Blue Shield has Blue Distinction Centers for Bariatric Surgery. Does BCBSTX Require Center of Excellence? The surgeon must show that the original gastric pouch dilated or the band slipped or eroded. But the patient must show proof that they have been compliant with the post-operative diet and exercise routines. Revisions are covered when the original procedure does not achieve long term weight loss goals. Only if the patient has been compliant with diet and exercise routines post-operatively and had a complication with the original procedure that caused it to fail will BCBSTX pay for a second procedure. Is a second weight loss surgery covered if lap band doesn’t work? Which procedures are not covered by BCBSTX? Yes, lap band fills are covered and its not necessary to request documentation for refill and maintenance procedures. Unsure which procedure is right for you? Take our test. Biliopancreatic bypass with duodenal switch – only in patients with a BMI over 50.

Gastric banding (Lap Band and Realize Band).Patients with serious medical illnesses in whom caloric restriction could make the illness worse.Patients with portal hypertenstion causing high risk surgery.Patients with mental handicaps that render them unable to understand the rules of eating and exercising post-operatively.If any of the following apply, you will NOT be eligible for weight loss surgery.

#Anthem blue cross weight loss surgery professional#

Evaluation from a professional counselor, psychologist, or psychiatrist within 12 months prior to surgery.Documentation attesting that you understand the post-operative regimen.You are at least 18 years of age and fully grown.Documentation from the requesting surgeon that: Body Mass Index equal to or greater than 35 with at least two of the following comorbidities.Ģ.Body Mass Index equal to or greater than 40.Two criteria must be met in order to qualify for BCBSTX to cover your procedure. Blue Cross Blue Shield of Texas’ Criteria for Insurance Coverage Use the contact information at the bottom of this page to find out if your policy has a specific exclusion for weight loss surgery. However, some policies do specifically exclude weight loss surgery. Blue Cross Blue Shield of Texas (BCBSTX) covers weight loss surgery.