Conservative measures for weight reduction should include changes to the individual's dietary, medication, and exercise regimen; The individual must complete a multidisciplinary evaluation including medical, nutritional, and psychological evaluations. *GP( @ r UQ T9 The criteria for selection to the Blue Distinction and Blue Distinction Centers+ for Bariatric Surgery program were developed with input from physician experts and medical organizations and include a comprehensive evaluation of structure, process and outcome measures. endstream BCBS of Texas Criteria for Weight Loss United Healthcares Criteria For Weight Loss Surgery Coverage, Medicares Criteria For Weight Loss Surgery Coverage. Target Fair Price: $12,250. Homepage Arash Sh 2022-11-18T01:32:57-08:00. . The following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity whenALLof the selection criteria are met. We lowered the age we will begin covering weight-loss (bariatric) surgery for members to age 16. ZIc$"NmZ;} AdN5N`]_c[K2~3[p'X9 YM"]0*=|. The individual's understanding of the procedure and ability to participate and comply with life-long follow-up and the life-style changes (e.g., changes in dietary habits, and beginning an exercise program) are necessary to the success of the procedure. Surgery: Gastric Bypass. stream Bariatric Journal Editor. Here you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual and support for delivering benefits to our members. Directory ofBlue Distinction Centers and Blue Distinction Centers+ for Bariatric Surgery, Program Selection Criteria For Bariatric Surgery. External link You are leaving this website/app (site). Blue Cross and Blue Shield's Federal Employee Program Benefit Plans Brochures and Forms Webpage . Our Philosophy; . Blue Cross Blue Shield of Alabama has helped individuals struggling with obesity who have tried various weight loss methods but havent been successful on their own. 2 years after the original weight loss surgery, weight loss is still less than 50% of pre-operative excess body weight and weight remains at least 30% of the patients ideal body weight, per BMI. Consult and recommendation from a weight loss surgeon. endobj endobj Policies, Guidelines & Manuals. endobj *GP( @ r UQ T9 Does Blue Cross Blue Shield Cover Weight Loss Surgery? Forms | Providers | BlueCare Tennessee - BCBST <> $150. hb```JB eaX `,mLBX*fLj yZq5Ugj 0;Rjy~(^QD=ysz(p'@%ssr?~oqj-w?d>Hzg.w ^p1*9V8(#]%IyE@Bq> :::h`` l "H2I&0&Y@$P9[X@D2J "*o2Sj0R *GP( @ r UQ T9 *GP( @ r UQ T9 *GP( @ r UQ T9 Blue Cross Blue Shield of Minnesota Medical Policy