Blue cross requirements for weight loss surgery obesity. Obesitycoverage strongly feels that morbid obesity is a disease and every insurance company should cover these life saving procedures. Wellness resources and tools blue cross and blue shield. Use the fep pharmacy finder, see drug benefits and more. You can claim this reimbursement for fees incurred by any combination of subscriber, spouse, andor dependent children enrolled under the same blue cross blue shield. Getting better care at anthem, we know that the relationship between you and your doctor is vital. Weight loss reimbursement can be granted for any single member or combination of members enrolled under the same blue cross blue shield of massachusetts health plan. You will be going to a new website, operated on behalf of the blue cross and blue shield service benefit plan by a third party. Bariatric surgery selection criteria blue cross blue. Corporate medical policy blue cross and blue shield of. Myblue blue cross and blue shields federal employee program. A feeforservice plan fep blue focus with a preferred provider. Washington today the blue cross and blue shield bcbs governmentwide service benefit plan, also known as the federal employee program fep. Blue cross blue shield of texas covers 3 weight loss procedures, including the gastric sleeve, gastric bypass, and lapband, assuming your policy includes bariatric surgery.
Please refer to the blue cross and blue shield service benefit plan brochure for details. Online health coach blue cross and blue shields federal. Services, drugs, or supplies for the treatment of obesity, weight reduction, or dietary control. This page explains the coverage requirements, plan types, and covered procedures, as well as how to appeal a denial. Ive got blue cross blue shield of alabama it took a little over. This brochure describes the benefits of the blue cross and blue shield service benefit plan under our contract cs 1039 with the. Your journey to better health habits begins with a single step. Policies on the blue cross blue shield of north carolina web site at they are listed in the category search on the medical policy search page. Im just starting on my weight loss surgery journey. Students who are dependents on a parents insurance plan will need information contained on the 1099hc form to complete their income tax returns. Blue cross and blue shield of illinois does not exclude people or treat them differently because of.
Blue cross and blue shield service benefit plan opm. In your section about gastric sleeve surgery, it is mentioned that only two insurance companies have been known to cover it for folks in the past, one of which was the blue cross and blue shield federal employee plan fep. The best time to start thinking about your health is before you get sick. Blue cross will make a reimbursement decision within 30 days of receiving a complete request. Blue cross blue shield members can search for doctors, hospitals and dentists. Make an appointment online instantly with dietitians that accept blue cross blue shield federal employee program insurance. While blue cross does cover most of the weight loss. This program offers a variety of health plans for eligible federal employees and retirees.
Blue cross and blue shield federal employee program fep. Federal employees fep bluecross blueshield of south. Before starting, check to see if your plan includes a fitness or weight loss reimbursement. How long does a blue cross approval take preoperation.
Distinction specialty care center for bariatric weight loss surgery. The medical cost reference guide blue cross blue shield. Federal bcbs paid for my sleeve 100%, minus the copayments. Name and address of classprogram benefit year weight loss benefit form. Distinction specialty care center for bariatric weight loss surgery and.
As part of our wellness incentive program, standard and basic option members can earn rewards after they complete the blue health assessment and achieve up to three online health coach goals. You mentioned that you only was required to write down the names of diets and pills that i had tried and failed. Keep copies of your proof of payment in case we request it from you. Information for our members blue cross blue shield of. The blue cross and blue shield association and participating blue cross and. Certain facilities have been selected to be blue distinction centers for bariatric weightloss. Sign up to receive our monthly newsletter, healthy living tips, important updates and more. I have blue cross blue shield federal and i have met all the requirements for my surgery except the below. Blue cross and blue shield service benefit plan medicaid. Bcbs fed and florida blues weight loss surgery criteria. Best blue cross blue shield federal employee program. Blue cross blue shield federal employee plan denied my. Blue cross blue shield association partners with fitbit to.
Today the blue cross and blue shield bcbs governmentwide service benefit plan, also known as the federal employee program fep, announced 2016 benefits for federal workers and retirees in the federal employees health benefits fehb program. Blue cross newsletter november 9, 2015 2016 federal. It continues to be the most popular choice of federal employees and retirees. I was told that my bmi must be 35 or more for the past 2 years in order for blue cross blue shield federal to cover the surgery. Thats why weve created the win by losing weight loss challenge a free competition that helps you lose weight while having fun and earning bragging rights. I have been enrolled in a weight loss program, losing 12 pounds, while getting a free scale and. Does anyone else have blue cross blue shield federal insurance. Reimbursement requests must be submitted by march 31 of the following year. If individual has not had bariatric surgery, the member must have maintained a stable. Medicare ppo bluesm prior authorization is not required for surgical services.
Question do you have blue cross blue shield federal. Blue cross and blue shields new fepblue mobile application is available for download for both. Win by losing is available to all of our group customers, whether you have one employee or 10,000. Blue cross and blue shield federal employee program fep expands financial incentives for federal workers to live healthier washington today the blue cross and blue shield bcbs governmentwide service benefit plan, also known as the federal employee program fep, announced 2016 benefits for federal workers and retirees in the federal. Evidence that attempts at weight loss in the past 1 year have been ineffective. Body mass index bmi is a measure of body fat based on height and weight that applies to both adult men and women. Im on my dads plan and he has the basic plan but they paid for my surgery 100%. You will be going to a new website, operated on behalf of the blue cross and blue shield service benefit plan by a third. An independent licensee of the blue cross and blue shield association ambulance and medical transport services bcbsnc does not cover services that are not medically necessary and will not reimburse for any services, procedures, drugs or supplies. Blue cross blue shield federal employees program and blue cross blue shield florida covers weight loss surgery. Blue cross and blue shield of kansas is an independent licensee of the blue cross blue shield. September 2016 page 5 nondiscrimination and accessibility notice discrimination is against the law blue cross and blue shield of north carolina bcbsnc complies with applicable federal.
The protection of your privacy will be governed by the privacy policy of that site. From global coverage to innovative tools and wellness incentives, no one does more to help federal employees get. Transgender insurance medical policies transcend legal. Download the carefirst video visit app from your favorite app. Shed pounds with these 7 dietitianapproved weight loss foods. Offers families with children and teens direction on weight management, healthy lifestyle habits and more. Blue cross and blue shield federal employee program. You mentioned that you only was required to write down the names of diets and pills that i. Home blue cross and blue shields federal employee program. Receipts must show blue cross blue shield of massachusetts members name, namelogo of program, amount paid per sessions, and dates paid. Download fepblue and enjoy it on your iphone, ipad, and ipod touch. Healthy blue living hmo blue cross blue shield of michigan. Blue cross and blue shield of vermont is an independent license of blue cross and blue shield association.
Blue cross blue shield association is an association of independent blue cross and blue shield companies. Blue cross blue shield of alabama covers 5 weight loss procedures, including the gastric sleeve, gastric bypass and duodenal switch, assuming your policy includes bariatric surgery. When you have federal employees dental and vision insurance plan fedvip. Those that do cover the procedure have similar requirements to those of blue cross blue shield of michigan. So we are happy to report that bcbs florida and bcbs federal covers weight loss surgery. If so, did you have a problem getting them to pay for your lapband procedure. Select blue cross blue shield global or geoblue if you have international coverage and need to find care outside the united states. Blue cross and blue shield of illinois complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Bcbs of texas weight loss surgery how to avoid a denial. Federal employee program fep blue cross blue shield. Weight loss benefit form blue cross blue shield of. If you have federal blue cross blue sheild, you should be happy. I authorize the release of any information about my qualified weight loss program to blue cross blue shield of massachusetts. Blue cross and blue shield service benefit plan fep blue.
A feeforservice plan fep blue focus with a preferred. I understand that blue cross blue shield of massachusetts may require proof of payment for a reimbursement decision. Bcbs of alabama weight loss surgery how to avoid a. Blue cross blue shield of texas weight management and. Blue cross and blue shield service benefit federal employee benefit medical policy title. Wellness resources and tools blue cross and blue shields. The blue cross and blue shield service benefit plan, usually called the federal employee program or fep, is the largest private health insurance contract in the nation. Blue cross and blue shield service benefit plan fep blue focus. Federal employee program fep fep members online customer service. Through this program, more than 60 million bcbs members have access to this special offer on fitbit activity trackers and smartwatches, and also have access to an additional offer by bundling their. Find information specific to your federal employee status, like. Bcbsks wellness programs include health resources and wellness programs.
Tummy tuck and blue cross blue shield questions real. It is important that you meet these criteria in order to benefit from coverage of the insurance company for the entire process. Medical and surgical management of obesity including anorexiants table of contents. Your doctor will usually arrange any hospital care that you need. You have a weight management program requirement your qualifcation form shows your body mass index is 30 or higher, so you need to participate in one of the programs below to be at the enhanced level in healthy blue living. All hospital care except for emergency services must be preapproved by your health plan. I am right at 35 bmi and i have very high cholesterol, borderline hypertension and. Getting better care anthem health insurance, medicare. Introduction this brochure describes the benefits of the blue cross and blue shield service benefit plan fep blue focus under our contract cs 1039 with the united states office of personnel management, as authorized by the federal employees health benefits law. Blue cross blue shield of michigan believes in supporting your health goals. Service benefit plan information can be located on the fep website. When you click ok, you will be going to a new web site, operated on behalf of the blue cross and blue shield service benefit plan by a third party. So we have doctors who take your care to the next level, who take the time to really listen, and who work with you as your partner towards better health. Certificationcertificationandcompliancdownloadsapprovedtransplantprograms.
Download the fepblue app to get the most out of your coveragefind a provider, contact the nurse line, estimate procedure costs and much more. Blue cross and blue shield of north carolina is an independent licensee of the blue cross and blue shield association last revision date. Weightloss reimbursement blue cross blue shield of. Questions about tummy tuck and blue cross blue shield, with answers from boardcertified doctors. I was ready to get my revision surgery from the sleeve to the ds. Weightloss reimbursement request blue cross blue shield. Weight watchers blue cross blue shield of michigan. My experience with bcbs federal insurance and financing.
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