Physician documented surgical complication.Physician documented medical complication.Revision Surgery (either Lap-Band Revision or Gastric Bypass Revision) is possible with EITHER of the following conditions met:.The following procedures MIGHT BE covered by Blue Cross Blue Shield Tennessee: Click here to learn more about Medicare bariatric surgery coverage. However, special Medicare-specific criteria apply. Biliopancreatic diversion surgery (BPD).Gastric banding (lap band surgery) (LASGB).Weight Loss Surgery for Medicare PlansĪll Medicare plans are required to cover the following weight loss surgery procedures: To review your insurance company’s obesity surgery coverage requirements, click here to jump back up the page. 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): 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
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