Highmark bcbs bariatric surgery policy

Author: wqls

August undefined, 2024

WebBariatric surgery should be performed in appropriately selected patients by surgeons who are adequately trained and experienced in the specific techniques used and in … WebTo view the out-of-area Blue Plan's medical policy or general pre-certification/pre-authorization information, please enter the first three letters of the member's identification number on the Blue Cross Blue Shield ID card, and select the type of information requested. Type of Information Being Requested

Blue Distinction Specialty Care Blue Cross Blue Shield

WebApr 28, 2014 · The eligible bariatric surgical procedures listed above unless otherwise specified are covered for members under the age of 18 years when they meet all of the … WebBlue Distinction Centers and Blue Distinction Centers+ for Bariatric Surgery provide a full range of bariatric surgery care; including surgical care, post-operative care, outpatient … life labs abbotsford save my spot

Medical Policy - Highmark

WebJul 15, 2024 · June 2024 Highmark BCBS Medical Policy Updates: Arthrocentesis or Needling of Bursa. Assistant Surgery Eligibility Criteria. Assisted Reproductive Technology. Autism Spectrum Disorders. Belimumab (Benlysta) Bevacizumab (Avastin) and Bevacizumab Biosimilars. Braces and Supports. WebIf you have any questions regarding your insurance, please call toll-free 844-2Novant (1-844-266-8268) to speak with a Customer Service Representative. For New Hanover … WebThe following CPT code is considered investigational for Commercial Members: Managed Care (HMO and POS), PPO and Indemnity: Procedure codes: 43847Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption 43645 Laparoscopy, surgical, gastric restrictive procedure; with gastric … mct91508

Medical Policy - Highmark Health Options

WebPolicies are written to cover a given condition for the majority of people. Each individual's unique clinical circumstances may be considered in light of current scientific literature. Medical policies are based on constantly changing medical science and Blue Cross reserves the right to review and update our policies as necessary. Medical Policies. WebHighmark Blue Shield: my Blue Access PPO Bronze 3800 Coverage for: Individual/Family Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you … lifelabs accountWebHome page ... Live Chat mct91503

"WebMedical Policies A-Z. Medical policies serve as one set of guidelines for determining what medical services, procedures, devices and drugs may be eligible for coverage. View the medical and drug authorization tables to determine when to request an authorization. InterQual® criteria is used to evaluate whether a medical procedure or equipment ... " - Highmark bcbs bariatric surgery policy

Highmark bcbs bariatric surgery policy

Highmark Health Weight Loss Surgery – How to Avoid a …

WebOct 28, 2013 · NOTE: The patient must be at least 18 months postoperative following bariatric surgery. NOTE: Report procedure code 15830 (Excision, excessive skin and subcutaneous tissue [includes lipectomy]; abdomen, infraumbilical panniculectomy) when performing a panniculectomy. WebJan 1, 2024 · Highmark Blue Cross Blue Shield is an independent corporation operating under licenses from the Blue Cross and Blue Shield Association. 1 of 10 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2024 ... Bariatric surgery Non-emergency care when traveling …

Did you know?

WebJun 12, 2024 · Surgery Date: 04/01/2024. Height: 5 feet 2 inches. Starting Weight: 277 lbs. Weight Lost: 118 lbs. Current Weight: 159 lbs. Goal Weight: 140 lbs. BMI: 29. Posted April 27, 2024. My dr office didn't know that Highmark changed their policy about the six month wait, so four months in I found out about the change thanks to this forum!

WebHighmark Health Options medical policy is intended to serve only as a general reference resource regarding coverage for the services described. ... A patient that goes through MWL resulting from bariatric surgery must wait at least 18 months after surgery and maintain a stable weight for a minimum of 6 months, totaling 24 months or 2 years. WebPOLICY STATEMENT Highmark Health Options may provide coverage under the medical-surgical benefits of the ompany’s Medicaid products for medically necessary bariatric …

WebBariatric Surgery Precertification Worksheet PROVIDER INFORMATION PATIENT/PROCEDURE INFORMATION Please answer all questions below: ... Highmark Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association. Created Date: 9/10/2024 9:52:17 AM ... WebFeb 21, 2024 · Highmark is a nationally recognized industry leader in developing and implementing up-to-date, medically sound policy guidelines. There are many policy …

WebRevision surgery to address perioperative or late complications of a bariatric procedure is considered medically necessary. These include, but are not limited to: Staple-line failure. Obstruction. Stricture. Non-absorption resulting in hypoglycemia or malnutrition, weight loss of 20% or more below ideal body weight.

WebApr 12, 2024 · Surgery for clinically severe obesity (bariatric surgery) falls into two categories: gastric restrictive procedures and malabsorptive procedures. The first category, gastric restrictive procedures, includes procedures in which a small pouch is … mct9蛋白WebCoverage Details Coverage Details Detailed below, you will find the most current Summary of Benefits for each plan. Reviewing a plan’s SBC may make it easier to understand its benefits and coverage. It is a summary designed to help you compare plans. Please review the SBC for the month that you’d like your plan to start. mcta bus routeshttp://highmarkblueshield.com/ mc tab rapper