Highmark bcbs bariatric surgery policy 2021
WebJan 10, 2024 · If the individual has had bariatric surgery, he/she is at least 18 months post-operative or has documented stable weight for at least 3 months. *Significant weight loss varies based on the individual clinical circumstances and may be documented when the individual: Reaches a body mass index (BMI) less than or equal to 30 kg/m 2; or WebMedical policies do not constitute medical advice, nor are they intended to govern the practice of medicine. They are intended to reflect Highmark’s reimbursement and …
Highmark bcbs bariatric surgery policy 2021
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WebFeb 22, 2024 · PITTSBURGH (PR) February 22, 2024. Allegheny Health Network (AHN) has been recognized by Highmark Blue Cross Blue Shield (BCBS) with a Blue Distinction® … WebBlue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. 2 Blue Distinction Centers for Bariatric Surgery Program Selection …
http://highmarkblueshield.com/ 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 ...
WebProgram Selection Criteria for Bariatric Surgery (PDF) Cancer CARE Blue Distinction Centers for Cancer Care provide a full range of cancer services. These Centers have a … WebJune 2024 Updates: COVID-19 treatment cost share waiver June 2024 Updates: ... Bariatric Surgery Value-Based Program Helps Members with Weight Loss Bariatric Surgery Value-Based Program Helps Members with ... Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of …
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 …
WebMar 27, 2024 · The following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity when ALL of the selection criteria are … chinese new year celebration in gtaWebImportant Legal Information: Health care benefit programs are issued or administered by Highmark Blue Cross Blue Shield Delaware or Highmark Health Insurance Company, independent licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross Blue Shield plans. chinese new year celebration flushingWebAug 24, 2024 · Bariatric surgery should be performed in appropriately selected individuals by surgeons who are adequately trained and experienced in the specific techniques used and in institutions that support a comprehensive bariatric surgery program, including … Highmark retains the right to review and revise its medical policy guidelines at its … Input your Medical Policy search words... This site works best if viewed with the … If you have specific questions or comments related to medical policy content, please … These terms and conditions are applicable to Campaign Texts and Member Texts. … grand rapids crime mapWebPatients who qualify for bariatric surgery usually: Are at least 80 lbs (36 kg) overweight. Are between 18 and 75 years old. Have a history of failed weight loss attempts (e.g., failed … grand rapids creative agencyWebApr 6, 2024 · Authorization Forms. Bariatric Surgery Precertification Worksheet. Behavioral Health (Outpatient - ABA) Service Authorization Request. Designation of Authorized Representative Form. Home Health Precertification Worksheet. Inpatient and Outpatient Authorization Request Form. Pharmacy Prior Authoriziation Forms. Last updated on … grand rapids cryotherapyWebBariatric Surgery Bariatric surgery is performed to treat morbid (clinically severe) obesity. Morbid obesity is defined as a body mass index (BMI) greater than 40 kg/m2 or a BMI greater than 35 kg/m2 with associated complications including, but not limited to, diabetes, hypertension, or obstructive sleep apnea. Morbid grand rapids csnipWebHighmark'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 grand rapids cpa firms