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BCBS Kansas City Criteria for Weight Loss Surgery Coverage

In Am I Covered by OC Staff

BCBS Kansas (BCBSKC) does cover weight loss surgery when the appropriate criteria are met. However, BCBSKC does point out in its policy introduction that: “Most local contracts have a specific exclusion for morbid obesity surgery…regardless of medical necessity.” While every insurance company has local policies with a specific exclusion of weight loss surgery, I haven’t seen many that list this …

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Cost of Gastric Sleeve (Sleeve Gastrectomy) Surgery

In Gastric Sleeve, How Much?, Insurance and Costs by OC Staff

Results based on January, 2015 Survey Costs can vary based on your location. Typically, the price of gastric sleeve surgery is slightly more than gastric band surgery and considerably less than gastric bypass surgery. Based on our 2015 survey, prices in the 10 most expensive states dropped almost 10% and the average price dropped almost 5% compared to last year. …

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Weight Loss Surgery – Insurance Coverage Criteria

In Insurance and Costs, Pre-approval Process, Resources by OC Staff

The list below is organized by insurance company. We include the following important information for each insurance company listed: Which weight loss surgeries are covered. Required criteria before gastric bypass, Lap Band or other procedures are approved for coverage. If Lap Band fills are covered after surgery. Contact information for your insurance provider. A link to the insurance policy detailing …

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Average Cost of Gastric Bypass Surgery

In Gastric Bypass, How Much?, Insurance and Costs by OC Staff

Costs can vary based on your location. When considering how you will pay for surgery, the price of laparoscopic gastric bypass surgery should not affect your decision to choose a qualified surgeon. Of the three most popular bariatric surgeries (Lap Band, sleeve gastrectomy, gastric bypass), gastric bypass is the most expensive. Duodenal switch surgery and some revision procedures are usually …

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Anthem BCBS – Requirements for Weight Loss Surgery

In Am I Covered by OC Staff

Anthem BCBS does cover weight loss surgery as long as your policy does not specifically exclude coverage. ObesityCoverage strongly feels that morbid obesity is a disease and every insurance company should cover these life saving procedures. So we are happy to report that Anthem BCBS covers weight loss surgery. In fact, most of the Blue cross Blue Shield network has …

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Average Cost of Lap Band Surgery

In How Much?, Insurance and Costs, Lap Bands by OC Staff

Updated for 2017 ~  Costs can vary based on your location. Do not let the price of Lap Band surgery affect your decision to choose a qualified surgeon. In fact, choosing a good surgeon is one of the most important choices you have prior to surgery. $8,700 to $29,000 is the pricing range across the country. $14,532 is the average …

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BCBS Of North Carolina Covers Weight Loss Surgery

In Am I Covered by OC Staff

Blue Cross Blue Shield North Carolina covers weight loss surgery. To qualify for coverage of weight loss surgery, your policy must include coverage. Please note that not all policies include coverage. So, to find out if your policy includes coverage, please talk directly to Blue Cross Blue Shield North Carolina. Blue Cross Blue Shield North Carolina Pre-Approval Requirements BCBSNC provides …

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Tufts Health Plan – Requirements For Bariatric Surgery

In Am I Covered by OC Staff

Tufts Covers Weight Loss Surgery Tufts covers weight loss surgery. To qualify for coverage of weight loss surgery, your policy must include coverage. Not all policies include coverage, so to find out if yours does, please talk directly to Tufts. Tufts’ Pre-Approval Requirements To qualify for coverage of weight loss surgery under the Tufts Health Plan, the following guidelines have …

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United Healthcare’s Criteria For Weight Loss Surgery Coverage

In Am I Covered by OC Staff

While many United Healthcare Summary Plan Descriptions and Certificates of Coverage explicitly exclude coverage for weight loss surgery, many plans do cover surgery. In fact, some states require insurance companies to cover weight loss surgery, so even if your policy excludes it, if your state mandates coverage you may be in luck! United Healthcare’s Pre-approval Criteria For Surgery The following …

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Tricare – Weight Loss Surgery Requirements

In Am I Covered by OC Staff

Tricare covers weight loss surgery. To qualify for coverage of weight loss surgery, your policy must include coverage and you must meet the qualifications. To find out if you policy includes coverage, please talk directly to Tricare. Assuming you are covered, Tricare has a single policy that sets the criteria for all of the Tricare regions for weight loss surgery. The …