Does Anthem Blue Cross Cover Balloon Weightloss Surgery?

Does Anthem Blue Cross cover balloon weightloss surgery? Blue Cross Blue Shield (BCBS) health insurance plans help a lot of people all over the US. If you want to get rid of your obesity with surgery, you should look at the terms and conditions of your BCBS medical policy to find out if you are covered. You can get pre-approval from your insurance company for your Blue Cross Blue Shield bariatric surgery coverage if you send in the necessary documents that prove you are eligible.

People who are overweight often wonder if Blue Cross Blue Shield covers surgery to help them lose weight. The answer is yes, as long as you meet the specific requirements set by your insurance company. Bariatric surgery is known to be a good way to get rid of obesity and the health problems that come with it. Blue Cross Blue Shield will pay for bariatric surgery as long as it can be shown that you need it for medical reasons.

How Does Anthem Blue Cross Cover Balloon Weightloss Surgery?

A number of bariatric procedures are covered by the Blue Cross Blue Shield weight loss surgery program. The gastric sleeve and the gastric bypass are two of the most popular surgeries that are thought to be the safest and most permanent ways to treat morbid obesity. Blue Cross Blue Shield bariatric surgery plans are available in all states and cover these two procedures. Adjustable gastric band surgery (also called a “lap band”) is sometimes also cover.

Yes, bariatric surgery may not cover by some Blue Cross Blue Shield plans. This depends on what kind of policy you bought. But the fact that your BCBS plan doesn’t cover weight loss surgery shouldn’t stop you from looking into low-cost self-pay options. Many people who don’t have enough insurance or don’t have insurance at all are now looking for safe and affordable weight loss surgery options in other countries.

Types Of Anthem Blue Cross Coverage For Weight Loss

Yes, Blue Cross Blue Shield will pay for bariatric surgery, depending on the type of plan you choose. It’s important to keep in mind, though, that even if you pay the premiums, you won’t cover until you fill out the paperwork need for approval.

To find out if Blue Cross Blue Shield covers bariatric surgery and if your plan has any exclusions, call your insurance company or talk to your employer. Check the “Exclusions” section of your health insurance policy to see if weight loss surgery has covered.

Even if bariatric surgery covered by your Blue Cross Blue Shield plan, it is still important to know what other weight loss procedures and treatments for obesity covered by your plan. The amount of coverage can change based on the type of policy and the benefits you choose.

Even if bariatric surgery covered by your Blue Cross Blue Shield, your individual health plan may have co-pays, deductibles, and maximums for out-of-pocket costs. These limits have reset every year, so talk to your insurance company in advance if you have questions.

Gastric Sleeve Blue Cross Coverage

Blue Cross Blue Shield gastric sleeve cover by many types of insurance plans for people who meet the requirements. Gastric sleeve is the most common type of weight loss surgery right now, and it works very well. So, as long as you meet the requirements, it shouldn’t be too hard to get approval from your insurance company, as long as you qualify.

Each Blue Cross and Blue Shield health plan can cover different costs for gastric sleeve surgery. Talk to your insurance agent about filling out the free, no-obligation form to find out what coverage you can get. This will make it clear how much coverage you really have. 

To get Blue Cross Blue Shield coverage for a gastric sleeve, you will have to find out if your body mass index is within the required range. The insurance company may also want to know about your efforts to lose weight without surgery and the results of your psychiatric evaluation. Does Blue Cross Pay For Bariatric Surgery

In many states, if your bariatric surgeon wants Blue Cross Blue Shield to cover your gastric sleeve, he or she will have to tell you about the risks and benefits. They may also have to do an assessment of your diet and give you nutrition advice.

Gastric Bypass Anthem Blue Cross Coverage

Anthem Blue Cross Blue Shield will pay for gastric bypass surgery as long as your health plan doesn’t exclude it. The nationwide Anthem BCBS network sees obesity as a serious illness, so most of its health plans cover gastric bypass in some way. Here are some of the most important things to remember about your coverage.

If you have an Anthem Blue Cross Blue Shield policy for yourself, check to see if you need to get pre-approval for a gastric bypass. For pre-approval, you may have to meet with and get a recommendation from a qualified weight loss surgeon.

Most of the time, Anthem BCBS will cover both traditional gastric bypass (open surgery) and laparoscopic Roux-en-Y gastric bypass. Is mini gastric bypass covered by Anthem Blue Cross Blue Shield? No, because this method considered to be an experiment.

A gastric bypass for Anthem BCBS should do at a bariatric center of excellence, but it doesn’t have to do by a surgeon in their network.

Does Anthem Blue Cross Cover  Lap Band?

Yes, Anthem Blue Cross will pay for lap band surgery if you meet the requirements for this weight loss method. Make sure to read your insurance policy carefully to find out what costs cover for your lap band surgery. Always call your insurance company and ask them to check on your Anthem Blue Cross lap band surgery coverage.

Lap band is a less common way to lose weight, and Anthem Blue Cross may need a surgeon’s recommendation to cover it. The criteria for getting pre-approval and the actual coverage for lap bands may be different for each patient and each Anthem Blue Cross insurance plan.

In addition to meeting the BMI requirements, you may have to send in a letter about how you have tried to lose weight in the last 5 years. Before you can get lap band surgery through Anthem Blue Cross, your co-morbidities will look at if your BMI is less than 40.

How Do I Learn the Answer to ‘Does Medicaid Cover Weight Loss Surgery?’


Patients covered by Medicaid often ask, “does Medicaid cover weight loss surgery?” Yes, Medicaid does cover weight loss surgery in some states. However, it is essential to take into consideration the specific state regulations and Medicaid requirements to determine if you are eligible. Generally, Medicaid coverage will be provided if a person has a BMI of 40 or higher or if their BMI is between 35 and 40 with one or more obesity-related medical conditions.

Additionally, you may need to provide documentation of your medical history and a recommendation from your doctor to qualify for coverage. It is best to contact your local Medicaid office or provider to ask, “does Medicaid cover weight loss surgery?” and see if you qualify for coverage.


Furthermore, if your state does not offer coverage for weight loss surgery, there may be other options, such as loan assistance programs or financing plans available through hospitals or private practices that specialize in bariatric surgery. Be sure to research all available options before deciding.


Ultimately, it is essential that those seeking weight loss surgery understand their insurance coverage and any available financial assistance should the procedure not be covered by their plan.