Highmark bcbs bariatric surgery policy
WebSep 6, 2024 · BARIATRIC SURGERY COVERAGE POLICIES –BLUE CROSS BLUE SHIELD COMPANIES Plan Geography Covered Lives Effective Date Policy T M Y B P A Highmark Blue Shield PA: 21 counties in central PA, Lehigh Valley 1,100,000 8/24/2024 link X X X(13-18 for girls, 15-18 for boys) Blue Cross Blue Shield of Kansas City Kansas City, MO … 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.
Highmark bcbs bariatric surgery policy
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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. 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!
WebPOLICY STATEMENT Highmark Health Options may provide coverage under the medical-surgical benefits of the ompany’s Medicaid products for medically necessary bariatric … 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 …
WebMedical Policy Highmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, 1 an association of independent Blue Cross Blue Shield Plans. … Weban Independent Licensee of the Blue Cross and Blue Shield Association If a conflict arises between a linical Payment and oding Policy ( ^ P P _) and any plan document under which a ... ^Repair of a hiatal hernia at the time of bariatric surgery that is diagnosed at the time of bariatric surgery, or ... Medical Policy: Bariatric Surgery, SUR716 ...
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 …
WebPlease fax completed form to the Medical Management and Policy Department: 888.236.6321 or 800.670.4862 (Delaware Only) Provider Information Patient/ Procedure … small event space rentalsWebNational Blue Cross Blue Shield Association Medical Policy 7.01.47, Surgery for Morbid Obesity, 02/2008. Overview of Bariatric Surgery, Journal of American College of Surgeons, Vol. 194, No. 3, 03/2002. Evidence-Based Medicine: Open and Laparoscopic Bariatric Surgery, Surgical Endoscopy, Vol. 16, No. 5, 05/2002 songs 30 seconds longWeboutpatient surgery Facility fee (e.g., ambulatory surgery center) No charge Not covered Precertification may be required. Physician/surgeon fees No charge Not covered … small event space san antonioWebBariatric 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 ... songs 70\u0027s and 80\u0027sWebHighmark 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 … songs 70s youtubeWebHighmark's mission is to be the leading health and wellness company in the communities we serve. Our vision is to ensure that all members of the community have access to affordable small event space rental orange countyWeb1 This facility indicated voluntarily that Radiologists, Anesthesiologists, Pathologists, Hospitalists, and Intensivists who provide services for elective (scheduled) procedures related to this Blue Distinction Specialty Care program are in the local Plan's BlueCard PPO network. 2 This is a freestanding surgery center that performs outpatient ... songs 4 worship my redeemer lives