Does Horizon Blue Cross Blue Shield cover weight loss surgery?

Does Horizon NJ Health cover weight loss programs?

Horizon NJ Health is a Medicaid plan which covers weight loss surgery. … Horizon NJ Health will require that you come to our office once a month for 3 months to participate in a medically supervised weight loss program before your surgery.

Does Horizon BCBS cover weight loss surgery?

Horizon Blue Cross Blue Shield New Jersey covers weight loss surgery. To qualify for coverage of weight loss surgery your policy must include coverage. Please note that not all policies include coverage.

How can I get my insurance to pay for weight loss surgery?

Getting Your Insurance to Pay for Weight Loss Surgery

Most major insurance companies will require: Proof that surgery or medical intervention is medically necessary. Your surgeon can help provide your medical history and documentation of your weight-related health problems.

Does NJ FamilyCare cover bariatric surgery?

– Weight reduction programs and dietary supplements—except for surgical operations, procedures, or obesity treatments approved by the managed care contractor—are not covered for NJ FamilyCare enrollees.

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What type of insurance is Horizon Blue Cross Blue Shield?

About Horizon Blue Cross Blue Shield of New Jersey health insurance. Horizon BCBS New Jersey is part of a network of 38 independent, community-based Blue plans that serves nearly 100 million people nationwide and is an independent licensee of the Blue Cross and Blue Shield Association.

Is Horizon NJ FamilyCare Medicaid?

Horizon NJ Health is the leading Medicaid and NJ Family Care plan in the state and the only plan backed by Horizon BCBSNJ. Our members get the health benefits they can count on from a name they trust.

What kind of weight loss surgeries are there?

There are currently three primary weight loss (or bariatric) surgeries being performed across the United States. They are Roux-en-Y gastric bypass, adjustable gastric banding and sleeve gastrectomy. All of these surgeries have pros and cons to them, and none of them are a quick, simple fix for losing weight.

What is gastric bypass?

Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.

How is lap band surgery done?

How is lap-band surgery performed? The surgeon uses a laparoscope to position the band (“lap band”), which allows the surgery to be done through several small incisions in the abdomen, or stomach area.

What’s the minimum weight for gastric bypass?

To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40).

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How much does gastric sleeve cost out of pocket?

Although prices have dropped over the years, patients deciding to have their gastric sleeve surgery performed in California can expect an average price of $14,900. The price can vary depending on the type of facility, the experience of the surgeon, the general health of the patient, and the chosen payment method.

How long does it take for insurance to approve weight loss surgery?

It can take two to four weeks for the insurance company to respond with a decision.

Which is better gastric sleeve or bypass?

You can lose up to 80 percent of your excess body weight. Intestinal bypass results in fewer calories absorbed. You lose weight faster than with gastric sleeve surgery. Although difficult, it can be reversed.

Do I qualify for gastric sleeve quiz?

In order to qualify for gastric sleeve, gastric bypass, duodenal switch, Gastric Band surgery, your body mass index (BMI) must be 40+ or between 35 and 40 only if you also have weight-related health issues (but you may be able to get approval with a BMI as low as 30).

Does insurance cover gastric sleeve surgery?

Historically, gastric sleeves, duodenal switches, mini-gastric bypasses and other ‘experimental’ procedures are not covered. Today gastric sleeves, laparoscopic gastric bypass and lap gastric bands are typically covered by most major insurance companies.

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