Federal bcbs bariatric medical policy
WebBariatric surgery is performed for the treatment of morbid (clinically severe) obesity. Morbid obesity is defined as a body mass index (BMI) greater than 40 kg/m2 or 35 kg/m2with … WebMedical policies, which are based on the most current research available at the time of policy development, state whether a medical technology, procedure, drug or device is: …
Federal bcbs bariatric medical policy
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WebPremera’s medical policy should be used as a guide in evaluating the medical necessity of a particular service or treatment. The Company adopts these policies after careful review of published and peer-reviewed scientific literature, national guidelines and … Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. 3 You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards.
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. WebMedical Coverage Policy . Page 1 of 92 Medical Coverage Policy: 0051 . ... In the absence of a controlling federal or state coverage mandate, benefits are ultimately determined by the terms of the applicable benefit plan document. ... unequivocal clearance for bariatric surgery by a mental health provider a nutritional evaluation by a physician ...
WebCoverage for enhanced weight loss surgery benefits is provided to members under select Medicare Plus Blue Group PPO plans. This enhanced benefit paper applies to standard … WebJun 21, 2024 · BCBS Federal Employees Program Pre-Approval Requirements The items below are the minimum necessary for approval of your weight loss surgery. Body Mass Index of 40 or greater OR BMI 35 …
WebBlue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. 4 Blue Distinction Centers for Bariatric Surgery Program Selection …
Webthis policy: BARIATRIC SURGERY IN ADULTS WITH MORBID OBESITY The following bariatric surgical procedures may be considered MEDICALLY NECESSARY for the … tecpakWebThis section contains Medical Policies approved by Blue Cross and Blue Shield of Kansas City (“BCBSKC”). Medical policy determines if, and under what circumstances, medical services may be eligible for coverage. These Medical Policies describe when medical services are considered medically necessary, not medically necessary or … tecpak dayton tnWeb2024 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus Section 3. How You Get Care ... (weight loss) surgery and must meet the requirements indicated on … tec pagarWebWhen performed in a Blue Distinction Center for Comprehensive Bariatric Surgery: 30% of the Plan allowance (deductible applies) Non-preferred (Participating/Non-participating): … tecpak 585WebMay 21, 2024 · bcbs federal. by: lapbandfailure. I have had lapband for 3 years, BCBS federal paid for placement, it is not effective. My BMI has gone from 38 to 40. Insurance … tecos guadalajaraWebReported Date M C B S Plan Covered Lives Geography Effective Policy 1/5/2024 X Blue Cross Blue Shield of North Carolina 2,239,860 NC 12/2024 link ... 5-5-2024 X GEHA N/A Federal Retirees National April 2024 link 5-2024 X OSU Health Plan 57,000 OSU (Ohio) Feb 2024 link ... (Ohio) Feb 2024 link OSU Health Plan considers weight loss surgery … tecpak industriesWebOct 15, 2024 · WASHINGTON, Oct. 15, 2024 /PRNewswire/ -- Today, the Blue Cross® and Blue Shield® Federal Employee Program® (FEP®) announced 2024 benefits, including newly expanded telemedicine benefits, along with a new tool to help provide greater cost transparency for members. tecpak inc