BCBSTX Weightloss Surgery

BCBSTX Weightloss Surgery Is it possible to get BCBSTX Weightloss Surgery coverage? Your request for bariatric surgery will typically take Blue Cross Blue Shield 30 days to approve. Therefore, you should make plans in advance and keep track of how long it takes to receive BCBS approval if you want to have weight loss surgery that is covered by your insurance.

First, pick a hospital or a bariatric surgeon who can assist you in quickly meeting the BCBS approval requirements and who will follow up on your behalf. Prepare all the documentation that BCBS might require, including health records and a certificate from a course on behavior change.

If Blue Cross Blue Shield denies your request for pre-authorization for bariatric surgery, you may still appeal, according to the BCBS appeals process. Be prepared to address each justification they have given for rejecting your request for coverage with the assistance of your surgeon. Make sure to adhere to all BCBS appeals rules precisely, and submit your appeal before the deadline.
You don’t have to deprive yourself of good health and a long life if BCBS does not approve your bariatric surgery and your appeal is also rejected. Examine your options for affordable bariatric surgery, such as medical travel with a reputable provider. Without going over your budget, this will assist you in losing weight and regaining your health.

BCBSTX Weightloss Surgery Coverage

Are federal employees covered by Blue Cross Blue Shield for bariatric surgery? Yes, provided you are eligible for the federal employee BCBS program. The laws of the state where you live and work will also affect the insurance coverage for weight loss surgery. Here are a few of the most significant guidelines for this insurance.

You must be at least 18 years old to be eligible for Blue Cross Blue Shield’s federal bariatric surgery coverage. If you have certain co-morbidities, your BMI should be over 35; if you don’t, it should be over 40.
You might need to present medical records proving you’ve had a morbid obesity diagnosis for up to three years in order to be covered by Blue Cross Blue Shield’s federal weight loss surgery program. To support this, you may include a letter stating the same thing from your primary care physician. A licensed, independent psychiatrist or behavioral specialist may need to conduct a professional psychological assessment before your scheduled bariatric surgery to determine whether you are emotionally and mentally prepared for the procedure.

There may be policy exclusions for your Blue Cross Blue Shield federal bariatric surgery coverage. Some of these include undergoing experimental procedures, having a persistent drug use issue, having a terminal illness, being psychotic, being pregnant, or having a history of disobeying medical advice.

BCBSTX Weightloss Surgery Insurance Policy

The majority of the time, the answer is yes. However, insurance firms in every state might have different guidelines for various groups. Additionally, the terms and conditions, exclusions, and coverage limits of each patient’s Blue Cross Blue Shield bariatric surgery policy may differ slightly.

Find out which procedures are covered before you purchase a Blue Cross Blue Shield weight loss surgery policy. Check to see if the insurance provided by your employer or your spouse’s employer excludes BCBS bariatric care.
Check for paperwork errors and inquire as to why bariatric surgery isn’t covered by your Blue Cross Blue Shield policy. Additionally, if your Blue Cross Blue Shield pre-authorization for weight loss surgery is rejected, you might want to appeal the decision to the insurance provider.

Does Blue Cross Blue Shield Cover Weightloss Surgery?

If bariatric surgery is not covered by your Blue Cross Blue Shield policy, you may want to research the least expensive self-pay options and other medical payment options. Patients should be aware of what they can eat and drink before having gastric sleeve surgery. This diet will primarily consist of protein shakes and other liquid, easily digestible, low-calorie foods.

Following are the main components of a liquid diet before gastric sleeve surgery:

  • During these two weeks, you will primarily consume protein shakes in place of meals.
  • You will typically be limited to drinking sugar-free beverages or beverages with sugar substitutes.
  • Carbonated, caffeinated, or alcoholic beverages are not permitted.
  • Vegetable or chicken broth can be consumed without any food particles.
  • In moderation, fruit and vegetable juices are acceptable.

Diet After Weight Loss

For those who have had gastric bypass, learning how to survive on a liquid diet prior to bariatric surgery can occasionally be more crucial. It’s especially important if they also have type 2 diabetes. These patients must control their blood sugar levels prior to having gastric bypass surgery. Meanwhile, they also adhering to the principles of a liquid diet.
You should refrain from consuming any solid, soft, or pureed foods for two weeks prior to the gastric bypass. Low-carb, high-protein shakes with about 25g of protein in 10 oz. should be consumed by people.
You only need one cup (8 oz) of decaffeinated coffee or tea per day to stay hydrated. You are permitted to consume up to 16 ounces of an electrolyte beverage each day.

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