The following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity whenALLof the selection criteria are met. Blue Cross PPO, Blue Cross-Blue Shield* and Cigna PPO. *GP( @ r UQ T9 <> *GP( @ r UQ T9 accredited by the metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. External link You are leaving this website/app (site). BCBS of Michigan - Requirements For Weight Loss Surgery Bariatric surgery may be indicated for patients 18 to 60 years of age. Blue Cross Blue Shield of Minnesota Medical Policy This Program aligns with the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Torrance Bariatric Institute provides expert weight loss procedures for patients looking for bariatric surgery in Torrance and surrounding areas. %PDF-1.7 Enteric fistula that does not close with bowel rest and nutritional support; Gastrogastric fistula associated with ulcers, gastroesophageal reflux disease (GERD) and weight gain; Disruption/anastomotic leakage of a suture/staple line; Band intolerance with obstructive symptoms (e.g. Weight Loss Surgery Insurance Coverage Criteria, The Pouch Reset Losing Weight After Weight, These 5 Habits = Weight Loss Surgery Success. Complications can include but are not limited to fistula, obstruction or disruption of a suture/staple line. Generally, any procedure that is considered experimental will not be covered. %PDF-1.5 Bariatric Journal does not provide medical advice, diagnosis, nor treatment. 7 0 obj Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). ALL *GP( @ r UQ T9 or 100% over ideal weight or a body mass index (BMI) of at least 40 or a BMI of 35 with comorbidities. *GP( @ r UQ T9 B#UVjHJ)Uc_;(T;ZAYQ}_B4UC3{mo vomiting, esophageal spasm); Band slippage and/or prolapse that cannot be corrected with manipulation or adjustment; Stricture/stenosis with dysphagia, solid food intolerance and/or severe reflux; Non-absorption resulting in hypocalcemia or malnutrition; Weight loss of 20 percent or more below ideal body weight.
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