Highmark bcbs bariatric surgery policy

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August undefined, 2024

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 …

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WebDr. Alexander Abdurakhmanov, MD is a Bariatric Surgery Specialist in Charlotte, NC. He is affiliated with medical facilities Maimonides Medical Center and Maimonides Midwood … 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 … chetan mishra

Highmark BCBS Medical Policy Updates - June 2024

WebBlue Shield of California WebELLIS BARIATRIC CARE CENTER - MAIN is a medical group practice located in Schenectady, NY that specializes in Dietetics and Nursing (Registered Nurse). Providers Overview Location Reviews Providers 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. chetan mohin

Bariatric Surgery Precertification Worksheet

Medical Policy and Pre-certification/Pre-authorization Information …

WebSep 6, 2024 · BARIATRIC SURGERY COVERAGE POLICIES –BLUE CROSS BLUE SHIELD COMPANIES Plan Geography Covered Lives Effective Date Policy T M Y B P A Highmark Blue Shield PA: 21 counties in central PA, Lehigh Valley 1,100,000 8/24/2024 link X X X(13-18 for girls, 15-18 for boys) Blue Cross Blue Shield of Kansas City Kansas City, MO … WebThe following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity when ALL of the patient selection criteria are met.Bariatric surgery should be performed in appropriately selected patients by surgeons who are adequately trained and experienced in the specific techniques used and in institutions that … chetan misherWebJan 1, 2024 · Highmark Blue Cross Blue Shield is an independent corporation operating under licenses from the Blue Cross and Blue Shield Association. 1 of 10 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2024 ... Bariatric surgery Non-emergency care when traveling … good shoes for winter

"WebTo 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 " - Highmark bcbs bariatric surgery policy

Highmark bcbs bariatric surgery policy

Summary of Benefits and Coverage: What this Plan …

Web1 This facility indicated voluntarily that Radiologists, Anesthesiologists, Pathologists, Hospitalists, and Intensivists who provide services for elective (scheduled) procedures related to this Blue Distinction Specialty Care program are in the local Plan's BlueCard PPO network. 2 This is a freestanding surgery center that performs outpatient ... WebNational Blue Cross Blue Shield Association Medical Policy 7.01.47, Surgery for Morbid Obesity, 02/2008. Overview of Bariatric Surgery, Journal of American College of Surgeons, Vol. 194, No. 3, 03/2002. Evidence-Based Medicine: Open and Laparoscopic Bariatric Surgery, Surgical Endoscopy, Vol. 16, No. 5, 05/2002

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WebApr 12, 2024 · Surgery for clinically severe obesity (bariatric surgery) falls into two categories: gastric restrictive procedures and malabsorptive procedures. The first category, gastric restrictive procedures, includes procedures in which a small pouch is … Weban Independent Licensee of the Blue Cross and Blue Shield Association If a conflict arises between a linical Payment and oding Policy ( ^ P P _) and any plan document under which a ... ^Repair of a hiatal hernia at the time of bariatric surgery that is diagnosed at the time of bariatric surgery, or ... Medical Policy: Bariatric Surgery, SUR716 ...

WebSep 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 …

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 … WebJan 1, 2024 · Highmark Blue Cross Blue Shield: my Direct Blue EPO Gold 0 Coverage for: Individual/Family Plan Type: EPO The Summary of Benefits and Coverage (SBC) …

WebHighmark Health covers 4 weight loss procedures, including the Gastric Sleeve, Gastric Bypass, Duodenal Switch assuming your policy includes bariatric surgery. This page …

WebJul 15, 2024 · June 2024 Highmark BCBS Medical Policy Updates: Arthrocentesis or Needling of Bursa. Assistant Surgery Eligibility Criteria. Assisted Reproductive Technology. Autism Spectrum Disorders. Belimumab (Benlysta) Bevacizumab (Avastin) and Bevacizumab Biosimilars. Braces and Supports. good shoes for working on concrete floorsWebOct 28, 2013 · NOTE: The patient must be at least 18 months postoperative following bariatric surgery. NOTE: Report procedure code 15830 (Excision, excessive skin and subcutaneous tissue [includes lipectomy]; abdomen, infraumbilical panniculectomy) when performing a panniculectomy. chetan microsofthttp://highmarkblueshield.com/ good shoes for weightlifting and runningWebHighmark's mission is to be the leading health and wellness company in the communities we serve. Our vision is to ensure that all members of the community have access to affordable good shoes for your backWebMedical 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 ... good shoe shop namesWebIf you have any questions regarding your insurance, please call toll-free 844-2Novant (1-844-266-8268) to speak with a Customer Service Representative. For New Hanover … chetan misher hindustan timesWebBariatric 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 ... good shoes for your feet