Does Blue Cross Blue Shield pay for gastric bypass?

Does Blue Cross Blue Shield pay for gastric bypass?

Blue cross blue shield bariatric surgery The answer is yes, subject to fulfillment of the specific eligibility criteria set by your insurance provider. Bariatric surgery is recognized as an effective way to get rid of obesity and associated co-morbidities.

Does Blue Cross Blue Shield NC cover weight loss medication?

Coverage of two FDA–approved, prescription weight–loss drugs – Meridia and Xenical – when medically necessary.

Does NC require insurance to cover weight loss surgery?

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.

How much is a gastric bypass surgery in NC?

A Bariatric Surgery in Charlotte costs $9,724 on average when you take the median of the 21 medical providers who perform Bariatric Surgery procedures in Charlotte, NC. There are 1 different types of Bariatric Surgery provided in Charlotte, listed below, and the price for each differs based upon your insurance type.

How much is gastric bypass with insurance?

The average cost of gastric bypass surgery is $24,300. That drops to around $3,500 with insurance but could be as low as $0 depending on your specific insurance pan and how much of your deductible and out-of-pocket maximum you’ve already paid this year.

What if your insurance doesn’t cover bariatric surgery?

If your insurance does not provide coverage for bariatric surgery, there are other options available to you. Depending on plan language, consultations, nutritional counseling and pre- and post-operative tests, labs and follow-up visits may be covered, although surgery is not.

Does Blue Cross Blue Shield South Carolina cover weight loss surgery?

Blue Cross Blue Shield, the only Obamacare insurer in South Carolina, does not cover bariatric surgery for the more than 200,000 enrollees in that state. The state also doesn’t cover the procedure for state employees and their spouses and children, another half a million people.

What is DS surgery for weight loss?

BPD/DS is a complex weight-loss surgery that reduces your ability to absorb calories, vitamins, and minerals. You can lose more weight with the duodenal switch than with the gastric bypass or the sleeve gastrectomy. You’ll be at higher risk of developing nutritional deficiencies afterward.

Does NC Medicaid pay for weight loss surgery?

Medicaid and NCHC shall cover revision of a primary bariatric surgical procedure for a documented perioperative or late complication for a beneficiary who meets ONE of the below conditions: 1. weight loss of 20% or more below the ideal body weight; 2.

Does insurance cover gastric bypass?

Different insurance companies and policies cover different procedures, but in general, most insurance companies will at least partially cover the major bariatric surgeries: gastric bypass, gastric sleeve, and gastric band.

Can I pay for gastric bypass surgery?

Most health funds cover bariatric (weight-loss) surgery, however you will usually need to be in a high level of cover. To check, simply contact your health fund and quote the relative surgery “item numbers” listed below.

How much do you have to weigh for gastric bypass?

To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40).