Highmark bcbs bariatric surgery policy

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August undefined, 2024

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 ... WebHighmark Health covers 4 weight loss procedures, including the Gastric Sleeve, Gastric Bypass, Duodenal Switch assuming your policy includes bariatric surgery. This page …

Summary of Benefits and Coverage: What ... - shop.highmark.com

WebBlue Shield of California 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. grand and toy regina

CG-SURG-83 Bariatric Surgery and Other Treatments for ... - Anthem

WebThe following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity when ALL of the patient selection criteria are met.Bariatric surgery should be performed in appropriately selected patients by surgeons who are adequately trained and experienced in the specific techniques used and in institutions that … WebSep 17, 2024 · Bariatric surgery should be performed in appropriately selected individuals by surgeons who are adequately trained and experienced in the specific techniques used and … WebMedical Policies The policies contained in the FEP Medical Policy Manual are developed to assist in administering contractual benefits and do not constitute medical advice. They are not intended to replace or substitute for the independent medical judgment of a practitioner or other health care professional in the treatment of an individual member. china wok blairstone tallahassee

Bariatric Surgery Precertification Worksheet

Summary of Benefits and Coverage: What this Plan …

WebPOLICY STATEMENT Highmark Health Options may provide coverage under the medical-surgical benefits of the ompany’s Medicaid products for medically necessary bariatric … 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 … china wok blackhillWebFeb 21, 2024 · Highmark is a nationally recognized industry leader in developing and implementing up-to-date, medically sound policy guidelines. There are many policy … china wok beaver falls menu

"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 … " - Highmark bcbs bariatric surgery policy

Highmark bcbs bariatric surgery policy

Preauthorization Request Form for 379 Surgical Management …

WebPlease fax completed form to the Medical Management and Policy Department: 888.236.6321 or 800.670.4862 (Delaware Only) Provider Information Patient/ Procedure … 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 …

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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. 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 …

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 … 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.

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 … 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 …

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. …

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 … grand and toy st. john\\u0027s nlWebThe 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 … grand and toy online canadaWebHighmark Blue Shield’s medical policy guidelines are not intended to govern the practice of medicine. Rather, they reflect our policies regarding what services Highmark Blue Shield … grand and toy scannerWebImportant Legal Information:: Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage, Highmark Benefits Group, Highmark Senior Health Company, First Priority Health and/or First Priority Life provide health benefits and/or health benefit administration in the 29 counties of ... grand and toy sharpiesWebHighmark'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 grand and toy storageWebJan 1, 2024 · Highmark Blue Cross Blue Shield: my Direct Blue EPO Gold 0 Coverage for: Individual/Family Plan Type: EPO The Summary of Benefits and Coverage (SBC) … china wok bloomington indianaWebJun 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! grand and toy stickers