![]() ![]() According to the Centers for Disease Control and Prevention (CDC), more than one third of American adults are morbidly obese, increasing their risk for heart disease, stroke, type 2 diabetes and certain cancers, and keeping them from an active and happy life. Learn about our higher quality care for bariatric surgery patients.Īt Lake Granbury Medical Center, we understand how challenging weight loss can be. Blue Cross Michigan Contact Info to Inquire About Surgeryīlue Cross Michigan can be contacted here or at the customer service number provided on the back of your enrollee ID card.We’re proud to share that Blue Cross Blue Shield of Texas recognized Lake Granbury Medical Center with a BDC Bariatric Surgery designation through the Blue Distinction® Specialty Care program. However, since Blue Cross Michigan requires a Center of Excellence, using an in-network surgeon is recommended. No specific information regarding the requirement of an in-network surgeon is available. Any bariatric surgeon that accepts Blue Cross Blue Shield of Michigan will know where the surgery has to take place.ĭo I Have To Use An In-Network Bariatric Surgeon?.The Center of Excellence should also hold a certification by the American Society for Bariatric Surgery as a bariatric surgery Center of Excellence.The Center of Excellence should be certified by the American College of Surgeons as a level 1 bariatric surgery center.Patient’s compliance with post-operative diet and exercise regimenĭoes Blue Cross Michigan Require A Center Of Excellence?īlue Cross Michigan has strict guidelines for the requirement of a Center of Excellence.However, the following documentation must be submitted: Revisions to the surgery are covered by Blue Cross Michigan. Please contact BCBS of Michigan directly to find out if they offer coverage for a second procedure. Coverage is typically only offered if you followed the post-operative guidelines, changed your lifestyle and sought help from your bariatric surgeon, dietitian and other resources. Typically, Blue Cross Blue Shield does offer coverage if your primary procedure does not produce the expected results. Information regarding coverage of a second weight loss surgery is not available. Is A Second Weight Loss Surgery Covered If Lap Band Doesn’t Work? ![]() However, you may want to have your bariatric surgeon’s office contact BCBS of Michigan directly and ask about coverage for a procedure that isn’t listed above. If the procedure you’d like to have is not listed on the approved list, it is likely not covered. Generally, any procedure that is considered experimental will not be covered. Open and laparoscopic vertical banded Gastroplasty.Open and laparoscopic sleeve Gastrectomy.Procedures Excluded From Coverageīlue Cross Michigan does not cover procedures considered investigational. You can contact Blue Cross Blue Shield of Michigan to get detailed information regarding the procedures covered. The weight loss procedures covered by Blue Cross Michigan include: Types of Weight Loss Surgeries Covered By BCBS of Michigan The weight loss surgery should have been prescribed by a physician other than the operating surgeon.Medically supervised weight loss programs.The duration of the weight loss program should have been at least twelve consecutive months. Relevant medical documents need to be submitted as proof that previous weight loss programs tried by the patient did not help.Class II obese patients are also eligible for coverage provided they suffer from at least one co-morbid condition. Full coverage for a weight loss surgery procedure will be provided to a patient with a Body Mass Index (BMI) over 40.The letter should also state that the physician has evaluated the patient’s mental condition and he/she is fully prepared for the surgery. If a patient is less than 18 years of age, a letter should be provided from a physician stating that surgery may prove risky if withheld for a later date.BCBS of Michigan provides full coverage for bariatric procedures provided the patient meets the following requirements: Weight loss surgery is an effective treatment for morbid obesity. Blue Cross Blue Shield Of Michigan Pre-Approval Requirements So, to find out if your policy includes coverage, please talk directly to Blue Cross Michigan. Please note that not all policies include coverage. To qualify for coverage of weight loss surgery, your policy must include coverage. This also applies to the Blue Care Network of Michigan. ![]() Blue Cross Blue Shield of Michigan covers weight loss surgery. ![]()
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |