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1. Anthem blue cross weight watchers discount michigan full#
2. Anthem blue cross weight watchers discount michigan code#
3. Anthem blue cross weight watchers discount michigan free#

Click here to learn more about Medicare bariatric surgery coverage. However, special Medicare-specific criteria apply.

Anthem blue cross weight watchers discount michigan free#

Regardless of whether your state is on the list, contact a qualified surgeon to request a free insurance check to verify your coverage. Financing bariatric surgery (all of your options).Weight Loss Surgery Insurance Secrets: Revised List (good tips even if your policy does not include bariatric surgery).If your surgeon confirms that your policy does not include obesity surgery, you still have several options for making surgery more affordable. For no charge, their office will contact your insurance company on your behalf to work through the details. If your state is NOT on the list, then weight loss surgery is probably NOT covered under your plan.įirst, contact your local surgeon to be sure. The following states DO currently consider bariatric surgery an Essential Health Benefit (bariatric surgery is covered by all individual, family and small group plans in these states):

Anthem blue cross weight watchers discount michigan full#

The Affordable Care Act (Obamacare) requires all individual and small group plans (less than 50 full time employees) to include weight loss surgery coverage as long as it is considered an “Essential Health Benefit” in your state. Weight Loss Surgery for Individual/Family Plans Contact your insurance company directly using the phone number on your insurance ID card.Click here to find a surgeon near you, then call or email them to request a free insurance review. Your local surgeon will usually be willing check your insurance for free.To find out whether weight loss surgery is covered by your employer’s plan, you have a few options: If you work for a company that has 50 or more full time employees, it is completely up to your employer to decide whether or not to cover bariatric surgery under your health plan. Weight Loss Surgery for Health Plans Through Your Work Full Bariatric Surgery Medical Policy for Anthem Blue Cross Blue Shield.Anthem Blue Cross Blue Shield Contact Information and Full Medical Policy on Bariatric Surgery After all, these tests will be beneficial regardless of whether you move forward with surgery. While this may sound “sneaky”, it is an ethical practice. But if your doctor uses a general CPT code, it probably will be covered.

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If your doctor submits one of these claims using a weight loss surgery CPT code (Current Procedural Terminology Code), your insurance is unlikely to cover it. These are ordered for many reasons other than bariatric surgery and may be covered as a result. It’s all about how your doctor and hospital submit your claims to your insurance company.įor example, there are many non-bariatric surgery reasons for your doctor to recommend: You may be able to get part of the costs paid for by insurance even if weight loss surgery isn’t covered. If Your Policy Does NOT Cover It: Seek Partial Coverage

The individual has undergone a preoperative medical consultation and is felt to be an acceptable surgical candidate.The candidate’s post-operative expectations have been addressed.The individual’s psychiatric profile is such that the candidate is able to understand, tolerate and comply with all phases of care and is committed to long-term follow-up requirements.The physician requesting authorization for the surgery must provide documentation of ALL of the following:.These efforts must be fully appraised and documented by the physician requesting authorization for surgery The individual must have serially documented active participation in a non-surgical weight reduction regimen for at least 6 continuous months, in the 2 years prior to surgery, to enable both behavioral changes and adequate assessment of anticipated postoperative dietary maintenance.