Highmark bcbs bariatric surgery 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. WebHighmark Health covers 4 weight loss procedures, including the Gastric Sleeve, Gastric Bypass, Duodenal Switch assuming your policy includes bariatric surgery. This page …
Highmark bcbs bariatric surgery policy
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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. 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.
WebTo access all of the features on the Highmark Plan App, you must have active Highmark medical coverage. ... Highmark Blue Shield serves the 21 counties of central … 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 ...
WebAug 24, 2024 · Bariatric surgery should be performed in appropriately selected individuals by surgeons who are adequately trained and experienced in the specific techniques used and in institutions that support a comprehensive bariatric surgery program, including long … Highmark retains the right to review and revise its medical policy guidelines at its … Input your Medical Policy search words... This site works best if viewed with the … If you have specific questions or comments related to medical policy content, please … These terms and conditions are applicable to Campaign Texts and Member Texts. … 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 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 ...
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 … dick\\u0027s sporting goods with batting cageWebHighmark 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. dick\u0027s sporting goods women clothinghttp://highmarkblueshield.com/ dick\u0027s sporting goods woburn maWebApr 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 … dick\u0027s sporting goods women coatsWebTo 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 dick\u0027s sporting goods winter haven flWebSep 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 … dick\u0027s sporting goods women soccer cleatsWebBlue Distinction Centers and Blue Distinction Centers+ for Bariatric Surgery provide a full range of bariatric surgery care; including surgical care, post-operative care, outpatient … dick\u0027s sporting goods women shorts