does highmark blue cross blue shield cover weight loss surgery

Your Anthem Blue Cross insurance policy covers weight loss surgery unless it states specifically that it excludes it. The first requirement is having a clinical need for it.

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In order to be approved by Highmark Health for bariatric surgery in the United States you must meet the following criteria.

. Who can get immunized through the Horizon BCBSNJs in-state immunization network. A summary of Highmark Blue Shield medical policy guidelines This section summarizes Highmark Blue Shields policy guidelines for a number of services covered by our members. Summary of Benefits and Coverage.

To access an SBC please choose a plan from the list above. Find local bariatric surgery specialists in Holmdel NJ. Find local bariatric surgery specialists in Jersey City NJ.

What this Plan Covers What You Pay For Covered Services. Employer Health plan Public sector Brokers consultants Provider Life sciences-----. This information is issued on behalf of Highmark Wholecare coverage by Gateway Health Plan which is an independent licensee of the Blue Cross Blue Shield Association.

Home How it Works. Blue Cross Blue Shield Highmark. Blue Cross Blue Shield will cover weight management as long as the patient has a medical condition that is likely to be helped by weight management.

Does Horizon Blue Cross Blue Shield of New Jersey cover bariatric surgery. Highmarks mission is to be the leading health and wellness company in the communities we serve. Blue Cross Blue Shield does cover weight loss surgery under some conditions.

In order to be pre-approved for the procedure you must meet the following. Revision surgery to address perioperative or late complications of a bariatric procedure is considered medically necessary. Blue Shield of New Jersey provides full coverage for certain preventive services at no cost to you under the Affordable Care Act.

Contact your insurance company to confirm all benefits. PRE-Operation Weight Loss Surgery QA. The SBC makes it easier for you to understand your health care benefits find out whats covered and compare various plans.

Examples of medical conditions. If you have morbid obesity and co-morbid conditions diabetes high blood pressure etc and have a. The policy bulletins on this web site were developed to assist Highmark Blue Cross Blue Shield in administering standard plan benefits and do not constitute a description of plan benefits.

The following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity when ALL of the patient selection criteria are metBariatric. 99 for entire year supply of 1 per Day Bariatric Multivitamins. Patients must be overweight and there must be a.

Employer Health Plan Public Sector Provider Pharma. Our vision is to ensure that all members of the community have access to affordable. 01012020 - 12312020 Highmark Blue Cross Blue.

As long as you and your covered family. New Jersey state law allows pharmacists to be trained and certified to administer. These include but are not limited to.

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