Effective May 01, 2023. 6/2022 . *GP( @ r UQ T9 2022 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option Section 5. stream
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Blue Cross Blue Shield Association. hb```JB eaX `,mLBX*fLj yZq5Ugj 0;Rjy~(^QD=ysz(p'@%ssr?~oqj-w?d>Hzg.w ^p1*9V8(#]%IyE@Bq> :::h`` l "H2I&0&Y@$P9[X@D2J "*o2Sj0R endobj
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As a result, some centers require active participation in a formal weight reduction program that includes frequent documentation of weight, dietary regimen, and exercise. Centers for Bariatric Surgery. Bariatric Surgery Which Procedure Is Best? Understanding Weight-Loss Surgery: Is it for you? About Us. Obesity is an increase in body weight beyond the limitation of skeletal and physical requirements, as a result of excessive accumulation of fat in the body. If you have surgery, some private Medicare Supplement plans might cover some out-of-pocket costs not covered under Original Medicare pays, such as . Yes, weight loss surgery must be done at a. Bariatric procedures not meeting the criteria as indicated in this policy are considered not medically necessary. 16 0 obj
*GP( @ r UQ T9 2022 Policy Documents. endobj
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*GP( @ r UQ T9 We'll assume you're ok with this, but you can opt-out if you wish. 2 0 obj
Gastric Banding including the Lap Band and Realize Band, Duodenal Switch also known as Biliopancreatic Diversion, Any other experimental weight loss procedure, The patient continues to meet all the medical necessity criteria for bariatric surgery, and, There must be documentation that the patient was compliant with the original post-operative dietary and exercise program, and. Blue Cross and Blue Shield of Oklahoma, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Gastric banding, Lap Banding and Realize Band Gastric banding involve fitting an adjustable silicone band around the upper part of the stomach where the band restricts the amount of food and caloric intake, consequently allowing patients to lose up to 45% of their weight. TTY users can call 1-877-486-2048. xV]:}G?c;HU]zU?G\} 29gfjL}a?
TJicTrXbfWllWfrZIUOzp*k}`o. bluecross blueshield fed blue bariatric Guide bluecross blueshield fed blue bariatric Requirements bluecross blueshield fed blue bariatric web address bluecross blueshield fed blue bariatric valid Username & Password. Blue Cross Blue Shield of Alabama has helped individuals struggling with obesity who have tried various weight loss methods but havent been successful on their own. Surgeon: James Stephen Scott. Blue 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. a Body Mass Index (BMI) greater than 40.