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TennCare – Requirements for Weight Loss Surgery Approval

In Am I Covered by OC Staff

To qualify for coverage of weight loss surgery, your policy must include coverage. Not all policies include coverage. To find out if you policy includes coverage, please talk directly to TennCare. TennCare does cover weight loss surgery for those individuals that meet certain criteria. In 2011 TennCare adopted the guidelines that Blue Cross Blue Shield uses for bariatric surgery. TennCare’s …

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Blue Cross Blue Shield of Minnesota – Weight Loss Surgery Coverage

In Am I Covered by OC Staff

Blue Cross Blue Shield of Minnesota 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. To find out if your policy includes coverage, please talk directly to Blue Cross Blue Shield of Minnesota. Blue Cross Blue Shield Minnesota’s Pre-Approval Requirements Patients suffering from morbid obesity …

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BCBS Arkansas – Weight Loss Surgery Requirements

In Am I Covered by OC Staff

BCBS Arkansas does cover weight loss surgery as long as your policy does not 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 BCBS Arkansas covers weight loss surgery. In fact, most of the Blue Cross Blue Shield network has some …

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How to Appeal When Insurance Denies Bariatric Surgery

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

Its very possible that your insurance company denied your first request for coverage of bariatric surgery. This is often true even if your insurance company specifically has a policy to cover weight loss surgery for qualifying patients. In fact, some surgeons suggest that as many as 40% of patients have to appeal their insurance company’s initial denial before the company …

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Medically Supervised Weight Loss Programs

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

There is a good chance you will be required to take part in a medically supervised weight loss program. What does this mean? You will probably have to take part in a total weight loss program that will include, exercise, diet, and/or medication. Some insurances require this to be supervised by a physician other than your surgeon. The purpose of …

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Letter of Medical Necessity

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

The Letter of Medical Necessity is required by every insurance company prior to obesity surgery. The Letter of Medical Necessity says that you are morbidly obese, according to the NIH guidelines or the guidelines that your insurance company lays out. Because you are morbidly obese it is then a medical necessity to have this procedure. Being morbidly obese is life-threatening …

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BCBS of Illinois – Requirements For Weight Loss Surgery

In Am I Covered by OC Staff

BCBS Illinois covers weight loss surgery. However, to qualify for coverage of weight loss surgery, your policy must include coverage. As not all policies include coverage, please talk directly to BCBS Illinois to find out if you policy includes coverage. BCBS Illinois Pre-Approval Requirements The benefit plan of the patient should explicitly include weight loss surgery. The contract is the …

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Humana – Insurance Requirements for Weight Loss Surgery

In Am I Covered by OC Staff

Humana does cover weight loss surgery unless specifically stated otherwise on your policy. In fact, Humana has a Bariatric Management Team. The Bariatric Management Team is available to help guide you through your weight loss surgery. The Team is also available for up to 6 months after surgery. Humana’s Pre-approval Requirements Humana requires the criteria below be met or exceeded …

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Blue Cross Blue Shield of Michigan – Requirements for Weight Loss Surgery Approval

In Am I Covered by OC Staff

Blue Cross Blue Shield of Michigan covers weight loss surgery. This also applies to the Blue Care Network of Michigan. 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 Michigan. Blue Cross Blue …

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BCBS Federal Employee Program and Florida Blue – Weight Loss Surgery Requirements

In Am I Covered by OC Staff

Blue Cross Blue Shield Federal Employees Program and Blue Cross Blue Shield Florida covers weight loss surgery. 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 BCBS Florida and BCBS Federal covers weight loss surgery. In fact, most of the Blue Cross Blue …