Aetna, anthem blue cross blue shield, cigna, and united healthcare all cover the majority of or parts of gastric sleeve surgeries for patients that meet the eligibility criteria. Generally speaking, the average cost for a gastric bypass ranges from $18,000 to $25,000, while the adjustable gastric banding surgery costs anywhere from $17,000 to $30,000.
Attend a weight loss surgery seminar.
How to get cigna to pay for weight loss surgery. You need to meet criteria to be considered a candidate. Inadequate weight loss is defined as failure to lose at least 50% of excess body weight or failure to achieve body weight to within 30% of ideal body weight at least two years following the original surgery. Please use this form to register for a weight loss surgery seminar.
Sleeve gastrectomy (also called gastric sleeve surgery) is surgery to remove part of the stomach. This can help you eat less and feel full sooner. Have a bmi of 40 or higher
Have a history of failed weight loss attempts (e.g., failed diets) thoroughly understand that the procedure is just a tool; As the gastric sleeve grows in popularity, many insurance companies are now providing coverage for the majority of expenses related to the operation. Are at least 80 lbs (36 kg) overweight.
If your policy does include coverage, the requirements below will apply. Cigna recently merged with great west healthcare. This surgery makes the stomach smaller.
You need to meet criteria to be considered a candidate. • individual has not obtained adequate weight loss* *note: It helps with weight loss.
Cigna does not require a coe designation at this time meaning you can have your surgery wherever your covered surgeon performs procedures. You need to meet criteria to be considered a candidate. Are between 18 and 75 years old.
Now, if you’re paying without insurance, expect to pay the full price upfront; When you’re in need of a weight loss surgery and have aetna as your health coverage, you’ll be glad to know that it covers the majority of the weight loss surgeries. The surgery is usually done through several small cuts in the belly.
I was a size 42 j (now a 44k) and they denied me because of my weight. However, take a look at your policy to be sure. I had cigna about 3 years ago and tried to get a breast reduction.
Patients who qualify for bariatric surgery usually: For more specific information, contact the company directly. The following applies to great west healthcare as well.
Contact cigna directly to find out if your plan includes weight loss surgery coverage. Payment & insurance coverage for weight loss surgery. How to get cigna to pay for weight loss surgery.
Things to note regarding cigna and bariatric surgery coverage. Healthspring was acquired by cigna. You must be 18 years of age or older.
Unless you have a policy that specifically excludes weight loss surgery, surgery is going to be covered provided that you meet specific criteria set forth by cigna. Some types of surgery also change the connection between your stomach and intestines. This type of surgery is only used for people who are very overweight and have not been able to lose weight with diet and exercise.
You need to be at least 18 years old, However, aetna’s hmo and qpos plans do not include surgical operations for obesity treatment unless prior. After you have completed all of the steps to prepare for weight loss surgery, our staff at nyu langone’s weight management program is able to discuss payment options.
Inadequate weight loss is defined by less than 50% of excess weight loss or failure to achieve body weight within 30% of ideal body weight within two years following surgery. However, some benefit plans do specifically exclude bariatric surgery. It’s all about how your doctor and hospital submit your claims to your insurance company.
How to get cigna to pay for weight loss surgery. Bariatric and gastric bypass surgery isn’t for everyone. These requirements include all of the following:
Bariatric surgery is surgery to help you lose weight. Inadequate weight loss is defined by less than 50% of excess weight loss or failure to achieve body weight within 30% of ideal body weight within two years following surgery. You must have a bmi of more than 40 for at least the past 2 years.
For questions / appointments call: Have been unsuccessful in losing weight after improving diet and exercise; Most policies with cigna cover weight loss surgery.
In order to qualify for the cigna weight loss surgery, you will need to meet the following cigna bariatric surgery requirements 2019: The surgery limits the amount of food your stomach can hold. You need to meet criteria to be considered a candidate.
Inadequate weight loss is defined by less than 50% of excess weight loss or failure to achieve body weight within 30% of ideal body weight within two years following surgery. To qualify for coverage of weight loss surgery, your policy must include coverage. You may be able to get part of the costs paid for by insurance even if weight loss surgery isn’t covered.
Well i think they do but you have to have documentation. Afterwards we are happy to schedule a consultation with one of our physicians.