Your Blue Cross Blue Shield Florida weight loss surgery insurance coverage depends on several factors, all of which are reviewed below. First, try our insurance tool to quickly check your insurance coverage: Read and click below for additional weight loss surgery insurance details. Click on any of the topics below to jump directly to that section SECTION SUMMARY: READ THIS FIRSTEven if your insurance company covers bariatric surgery in some plans, that does not mean that your specific plan covers it. The obesity surgery approval requirements in this section assume that weight loss surgery is covered by your specific policy. To confirm whether your specific policiy covers bariatric surgery, click here to contact a surgeon and ask for a free insurance check. Disclaimer: The information contained on this page may not include all components of your insurance company’s medical policy and/or may not be up to date. Contact your insurance company to confirm all benefits. In order to be approved by Blue Cross Blue Shield Florida for bariatric surgery in the United States, you must meet the following criteria:
Or Use this BMI Calculator to check your body mass index… Adolecents Requirements Adolecent bariatric surgery may be covered if the following are met:
Revision Requirements A Bariatric Revision or Removal:
If Your Policy Does NOT Cover It: Seek Partial CoverageYou may be able to get part of the costs paid for by insurance even if weight loss surgery isn’t covered. It’s all about how your doctor and hospital submit your claims to your insurance company. For example, there are many non-bariatric surgery reasons for your doctor to recommend:
These are ordered for many reasons other than bariatric surgery and may be covered as a result. If your doctor submits one of these claims using a weight loss surgery CPT code (Current Procedural Terminology Code), your insurance is unlikely to cover it. But if your doctor uses a general CPT code, it probably will be covered. While this may sound “sneaky”, it is an ethical practice. After all, these tests will be beneficial regardless of whether you move forward with surgery. Contact Blue Cross Blue Shield Florida to Ask About Bariatric Surgery
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Before getting into the types of insurance plans, you can cut to the chase by contacting a local bariatric surgeon’s office. Most surgeons will contact your insurance company for free to confirm whether or not you’re covered. Click here to find a local surgeon and ask them to check your insurance for you for free. Blue Cross Blue Shield Florida does cover weight loss surgery, but your specific policy must include it in order for you get it covered. Following are a list of Blue Cross Blue Shield Florida plan types and whether they cover bariatric surgery: Weight Loss Surgery for Health Plans Through Your WorkIf you work for a company that has 50 or more full time employees, it is completely up to your employer to decide whether or not to cover bariatric surgery under your health plan. To find out whether weight loss surgery is covered by your employer’s plan, you have a few options:
Weight Loss Surgery for Individual/Family PlansThe 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. 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): Your State Not on the List?If your state is NOT on the list, then weight loss surgery is probably NOT covered under your plan. First, contact your local surgeon to be sure. For no charge, their office will contact your insurance company on your behalf to work through the details. If your surgeon confirms that your policy does not include obesity surgery, you still have several options for making surgery more affordable. See these pages for more information:
Regardless of whether your state is on the list, contact a qualified surgeon to request a free insurance check to verify your coverage. To review your insurance company’s obesity surgery coverage requirements, click here to jump back up the page. Weight Loss Surgery for Medicare PlansAll Medicare plans are required to cover the following weight loss surgery procedures:
However, special Medicare-specific criteria apply. Click here to learn more about Medicare bariatric surgery coverage. 03. Covered Weight Loss ProceduresSECTION SUMMARY:
Please see below for the procedures Blue Cross Blue Shield Florida covers, might cover under certain circumstances, and those that are not covered under any circumstances: Procedures That ARE Covered
Procedures That MIGHT BE CoveredThe following procedures MIGHT BE covered by Blue Cross Blue Shield Florida:
Procedures That Are NOT CoveredThe following procedures are NOT covered by Blue Cross Blue Shield Florida:
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If Blue Cross Blue Shield Florida denies your weight loss surgery claim and you think it should be covered, consider filing an appeal. Our Health Insurance Appeals page will get you started, then head over to the Disputes & Appeals page for Blue Cross Blue Shield Florida to learn how to proceed. 05. Find A Top Weight Loss SurgeonSECTION SUMMARY:
Search the weight loss surgeon directory below to ask a surgeon about a free insurance check by country and region:
* Disclaimers: Content: The information contained in this website is provided for general information purposes and your specific results may vary depending on a variety of circumstances. It is not intended as nor should be relied upon as medical advice. Rather, it is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician(s). Before you use any of the information provided in the site, you should seek the advice of a qualified medical, dietary, fitness or other appropriate professional. Advertising: Bariatric Surgery Source, LLC has entered into referral and advertising arrangements with certain medical practices, original equipment manufacturers, and financial companies under which we receive compensation (in the form of flat fees per qualifying action) when you click on links to our partners and/or submit information. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Read More Request a Free Insurance CheckFill out the below form for a free insurance check performed in partnership with your local bariatric surgeon. Advertisement Los Angeles/Orange CountyHow long does it take to get scheduled for bariatric surgery?The waiting period is generally about two to six months, depending upon precertification approval. During your initial consultation, the surgeon will determine whether health-related factors might delay your surgery.
How long does it take BCBS Il to approve bariatric surgery?How long does it take BCBS to approve bariatric surgery? Blue Cross Blue Shield will take up to 30 days on average to approve your request for bariatric surgery.
How long does it take to get a weight loss surgery date?From the time of the initial consultation, the average wait time is 6-8 weeks. During this time, you will undergo preoperative testing to evaluate whether surgery is a suitable option.
How hard is it to get approved for bariatric surgery?To be eligible for weight-loss surgery, you must meet the following requirements: Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40 and an obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.
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