intel anthem blue cross weight loss program

The patient continues to meet all the medical necessity criteria for bariatric surgery, and.Surgical procedures following a previous weight loss surgery that did not result adequate weight loss, such as a lap band or realize band to a gastric bypass, gastric sleeve or duodenal switch are covered by insurance when the following criteria are met: Is a Second Weight Loss Surgery Covered if Gastric Banding Didn’t Work? Any other ‘experimental’ weight loss procedure.Typically, if you paid cash for the procedure ongoing lap band fills will not be covered by insurance. This is true only if you’ve had a previous adjustable gastric banding procedure that met all of the criteria laid out for that procedure. Unsure which surgery is right for you? Take our bariatric surgery test!Īnthem BCBS considers Lap Band fills a medical necessity when required to meet the proper level of weight loss. Duodenal Switch also known as Biliopancreatic Diversion.Gastric Banding – including the Lap Band and Realize Band.Types of Weight Loss Surgeries Covered By Anthem BCBS

Consult and recommendation from a weight loss surgeon.18 years of age (special consideration if under 18 with severe morbid obesity and special circumstances).

Active Participation and Documentation of non-surgical methods of weight loss.

a BMI of 35 or greater with at least 2 comorbidities.

Body Mass Index (BMI) of 40 or greater OR….

The items below are the minimum necessary for approval of your weight loss surgery. Before calling make sure you see our questions to ask before calling your insurance company.īlue Cross of California is the trade name for Anthem BCBS so your criteria for weight loss surgery will be the same as it is here. Contact information for your Anthem BCBS is listed below. Opting-out typically saves the company money on their premiums. It is important to know that your employer can typically opt-out of weight loss surgery insurance coverage for their employees’ policies. In fact, most of the Blue Cross Blue Shield network has some sort of coverage for weight loss surgery.

So we are happy to report that many Anthem BCBS policies cover weight loss surgery. Obesit圜overage strongly feels that morbid obesity is a disease and every insurance company should cover these life saving procedures. Anthem BCBS may cover weight loss surgery as long as your policy does not specifically exclude coverage.

Intel anthem blue cross weight loss program