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Requirements for Pre-Approval of Weight Loss Surgery with Blue CrossYour Anthem Blue Cross insurance policy covers weight loss surgery unless it states specifically that it excludes it. In order to be pre-approved for the procedure you must meet the following requirements:
What Weight Loss Procedures Does Blue Cross Cover?The weight loss procedures that Blue Cross covers include.
Procedures Blue Cross Does Not CoverWhile Blue Cross does cover most of the weight loss procedures there are a few that they do not. These include:
Other ConsiderationsWhile you go into the weight loss surgery with high hopes and expectations that it will be a success, there is always a possibility that it will not be as successful as you had hoped. If this is the case and you find a second surgery or procedure is needed, you might find that Blue Cross Blue Shield does provide coverage for a second surgery as long as you followed post-operative instructions and made lifestyle changes for success as well as turned to the bariatric surgeon and other sources for additional help. Blue Cross Blue Shield does cover a revision surgery if it is needed. They do require that certain documentation is provided by the physician including:
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. Related Resources
How long does it take to get a date for bariatric surgery?The waiting period is generally about two to six months, depending upon precertification approval. During your initial consultation, the surgeon will determine whether health-related factors might delay your surgery.
How long does it take BCBS Il to approve bariatric surgery?How long does it take BCBS to approve bariatric surgery? Blue Cross Blue Shield will take up to 30 days on average to approve your request for bariatric surgery.
How hard is it to get approved for bariatric surgery?To be eligible for weight-loss surgery, you must meet the following requirements: Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40 and an obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.
How long does it take for medical to approve gastric sleeve?How Long Surgical Insurance Approval Takes. Most patients get approval for gastric sleeve surgery within 90 days or 12 weeks if no medical weight loss program is required. However, consecutive office visits are necessary throughout the approval process.
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