What usrgery some of the most common bariatric insurance coverage requirements? Which Procedure Should I Choose? Initiate your appeal immediately. However, some benefit plans do specifically exclude surgedy surgery. Some of the most common bariatric insurance coverage requirements include:. Some scarring may occur, but this can be covered with insurnace. But standard health plans do not cover bariatric surgery; an employer must specifically select it as an option. TAP HERE TO FIND SURGEON. I would like to get a call from a staff member about my digna. Following are a list of Cigna Health Insurance plan types and whether they cover bariatric surgery: If you work for a company that has 50 or more full time employees, it is completely hy to your employer to decide whether or not to cover bariatric surgery under your health plan. 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 : If your state is NOT on the list, then weight loss surgery is probably Weight loss surgery covered by cigna insurance covered under your plan. What criteria do I need to meet in order to be considered for bariatric surgery? If you are considering gastric sleeve surgery, contact your insurance plan to find out if the procedure is covered, and what such coverage entails. Assuming you follow all the guidelines and provide complete, accurate information requested by your insurance company, the process from start to finish can take anywhere from one month to one year.
Your Cigna Health Insurance weight loss surgery insurance coverage depends on several factors, all of which are reviewed below. Click here to contact us. This tool provides estimates only. Please contact your insurance company to verify your actual out of pocket costs. Even 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. Contact your insurance company to confirm all benefits. In order to be approved by Cigna Health Insurance for bariatric surgery in the United States, you must meet the following criteria: You are considered to be underweight and should take physician-approved steps to gain weight.
Your risk is even higher if your waist circumference is over 35 inches 88 cm for women or 40 inches cm for men. Your BMI indicates that you may be a good candidate for weight loss surgery if you also have one or more obesity-related health problems. Your BMI indicates that you may be a good candidate for weight loss surgery. You are considered to be underweight and should take physician-approved steps to gain weight.
However, physician-supervised programs consisting exclusively of pharmacological management are not sufficient to meet this requirement. Reoperation and Repeat Bariatric Surgery — Cigna covers surgical reversal i. 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 Codeyour insurance is unlikely to cover it. But if your doctor uses a general CPT code, it probably will be covered.
After all, these tests will be beneficial regardless of whether you move forward with surgery. Click here to find a local surgeon and ask them to check your insurance for you for free. According to Cigna Health Insurance, most plans exclude bariatric surgery from coverage. However, many states mandate coverage for individual and family policies, and many employers have chosen to include it in their coverage. Following are a list of Cigna Health Insurance plan types and whether they cover bariatric surgery: If you work for a company that has 50 or Weight loss surgery covered by cigna insurance full time employees, it is completely up to your employer to decide whether or not to cover bariatric surgery under your health plan.
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 : 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 Weight loss surgery covered by cigna insurance sure.
Weight loss surgery covered by cigna insurance
Frequently Asked Questions Regarding Insurance and Costs. What insurance plans cover bariatric surgery? Many health insurance plans, including Medicare and most. Reviewed by Robin Blackstone, MD. Gastric sleeve (sleeve gastrectomy) is quickly becoming an important option for many people who are considering weight loss surgery. Thank you for inquiring about this surgery : In many cases your insurance will cover all/most of the cost of this surgery. If you want to pay cash, the cost can be as. Gastric sleeve surgery, also known as gastric sleeve resection or vertical sleeve gastrectomy, can be a powerful first procedure for weight loss. Learn More!. Comprehensive list of insurance companies and their requirements to approve coverage for lap bands, gastric bypass, gastric sleeve and other weight loss.