Anthem BCBS may cover weight loss surgery as long as your policy does not specifically exclude coverage. ObesityCoverage strongly feels that morbid obesity is a disease and every insurance company should cover these life saving procedures. So we are happy to report that many Anthem BCBS policies cover weight loss surgery. In fact, most of the Blue Cross Blue Shield network has some sort of coverage for weight loss surgery. Show
It is important to know that your employer can typically opt-out of weight loss surgery insurance coverage for their employees’ policies. Opting-out typically saves the company money on their premiums. Contact information for your Anthem BCBS is listed below. Before calling make sure you see our questions to ask before calling your insurance company.
Anthem BCBS Pre-Approval RequirementsThe items below are the minimum necessary for approval of your weight loss surgery.
Policies Included in Coverage
Types of Weight Loss Surgeries Covered By Anthem BCBSCovered Weight Loss Surgery Procedures
Unsure which surgery is right for you? Take our bariatric surgery test! Lap Band Fills Covered? Anthem BCBS considers Lap Band fills a medical necessity when required to meet the proper level of weight loss. This is true only if you’ve had a previous adjustable gastric banding procedure that met all of the criteria laid out for that procedure. Typically, if you paid cash for the procedure ongoing lap band fills will not be covered by insurance. Procedures Excluded From Coverage
Is a Second Weight Loss Surgery Covered if Gastric Banding Didn’t Work? Surgical procedures following a previous weight loss surgery that did not result adequate weight loss, such as a lap band or realize band to a gastric bypass, gastric sleeve or duodenal switch are covered by insurance when the following criteria are met:
Revisions
Does Anthem BCBS Require Center Of Excellence?
Do I have to use an in-network weight loss surgeon?
Anthem BCBS Contact InformationAnthems can be contacted at 1-866-293-2892. You can also locate a contact number and email address on their website after choosing your state. Anthem BCBS Weight Loss Surgery Full Coverage StatementAnthem’s full policy on weight loss surgery insurance coverage is no longer available online. The best option is to call them directly and ask if your policy includes coverage for CPT Code 43775. This is the medical billing code for gastric bypass surgery. If your policy covers gastric bypass then it should cover other bariatric surgery procedures as well. Does insurance cover Ozempic weight loss?Insurance won't cover Ozempic, Rybelsus and Wegovy for Weight Loss? Since the medication semaglutide was first developed for the treatment of type 2 Diabetes, many insurances still will not cover the prescription, brand name or generic, for weight loss.
Does Wegovy start working right away?Wegovy starts working right after you inject a dose. But it may take several weeks or months before you notice weight loss or a decrease in appetite. How long does Wegovy stay in the body? Wegovy stays in the body for about 5 to 7 weeks after the last dose.
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 does Wegovy work in the body?Wegovy works by mimicking a hormone called glucagon-like peptide-1 (GLP-1) that targets areas of the brain that regulate appetite and food intake.
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