Blue Cross Blue Shield of Texas (BCBSTX) covers weight loss surgery. However, some policies do specifically exclude weight loss surgery.
Does Medicare Advantage cover weight loss surgery?
Medicare covers some bariatric surgical procedures, like gastric bypass surgery and laparoscopic banding surgery, when you meet certain conditions related to morbid obesity.
How can I get my insurance to pay for weight loss surgery?
“In the vast majority of cases, insurance covers bariatric surgery. Contact your insurance carrier to determine if elective bariatric surgery is a covered benefit through your plan,” he said. “And if your case is denied by insurance, there is an appeals process.”
Will Blue Cross Blue Shield pay for gastric sleeve?
0024, Gastric Sleeve is now covered and available for those individuals who qualify. … If your BMI is below 40, Anthem Blue Cross and Blue Shield will also consider all medical issues and problems related to your weight prior to authorizing coverage of your Gastric Sleeve Surgery.
What type of insurance covers weight loss surgery?
Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures.
How can I get a free gastric sleeve?
Free Weight Loss Surgery Grant
Surgery Grants help people who are unable to afford gastric bypass get the funding for all or part of bariatric surgery. There is a Free Weight Loss Surgery Grant Now Available for gastric bypass through the Weight Loss Surgery Foundation of America (WLFSA).
Does insurance pay for weight loss programs?
The Affordable Care Act requires insurance companies to cover obesity screening and counseling at no cost to you. But with other common weight loss treatments, coverage varies depending upon where you live and what health plan you have.
What’s the minimum weight for gastric bypass?
To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40).
Which weight loss surgery is best?
The study found that gastric bypass appeared to be most effective for weight loss: Gastric bypass surgery resulted in an average 31 percent loss of total body weight in the first year and 25 percent of total body weight after five years.
What’s the cheapest weight loss surgery?
To help you make your surgical decision and plan your cash payments, we’ve included this procedure cost list:
- Surgical Costs for Self-Pay Patients – Basic Packages.
- LAP-BAND® Removal – As low as $2,200* …
- LAP-BAND® – As low as $11,560* …
- Gastric Sleeve – As low as $10,000* …
- Gastric Bypass (RYGB) – As low as $15,500*
How long does it take to get approved for gastric sleeve surgery?
Insurance Authorization Process
This process takes approximately 30 days.
How much is gastric sleeve surgery with insurance?
Your out-of-pocket costs will be dramatically lower if your insurance covers gastric sleeve surgery. For example, the average cost of gastric sleeve in the United States is $19,190. Insurance typically pays over 80% of the costs, bringing the average bill down to $3,500 or less.
Are you more fertile after gastric sleeve?
Bariatric surgery can produce a sudden positive change in your fertility. A report in a November 2005 issue of the Journal of Obstetric, Gynecologic, and Neonatal Nursing found that women with fertility problems linked to obesity who have the surgery can start ovulating regularly for the first time in years.
How much does the gastric sleeve cost without insurance?
“The surgery for a sleeve gastrectomy is about $17,500 and for bypass it’s about $27,000.” The good news: the price hurdle is often one that patients can overcome on their way to healthier lifestyles because more and more, insurers are willing to cover the surgeries — especially when employers demand coverage.
What can disqualify you from bariatric surgery?
People who are not good candidates for bariatric (weight loss) surgery include those who:
- are medically fragile and could not safely undergo surgery.
- have psychiatric issues including eating disorders that are not fully managed.
- refuse to quit smoking.
- do not meet the body mass index (BMI) and co-morbidity criteria.
Do I qualify for a gastric sleeve?
You typically qualify for bariatric surgery if you have a BMI of 35-39, with specific significant health problems like Type 2 diabetes, sleep apnea or high blood pressure. A BMI of 40 or higher also is a qualifying factor.