Your insurer must ask for any information within 15 days of receiving your request, and you and your provider have 45 days to send the information. Identify ways to save money. Tijuana, Does Blue Cross Blue Shield of Alabama (BCBS) cover bariatric surgery? The company has been in the insurance business for over 80 years. VSP Vision Care offers Covered California members full-service individual vision plans with annual premiums starting at just $15.16 a month. Simply present your Blue Cross identification card to the participating provider and mention the program. Referral. Before making a final decision, please read the Plan's federal brochure (RI 71-005). Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. With the help of Ovia Health, we are able to provide extra support for LGBTQ members. Your Personal Data will be disclosed to appropriate personnel for purposes of performing services to, or on behalf of, our enterprise customers and prospective customers as part of and in relation to matters regarding our provider, health plan, and subsidiary enterprise care delivery, administration and operations. Its always a wise idea to call your insurer and ask them to verify your actual Anthem Blue Cross lap band surgery coverage for you. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. I'm also with anthem blue cross blue shield. Visit Premera Facebook page Visit Premera Twitter page Visit Premera Youtube page Visit Premera LinkedIn page You can also call the customer service number on the back of your ID card for plan-specific questions, and ask us to update our Blue Cross records with your desired gender marker and name. We work together with our LGBTQ employees to better understand the health care needs of our LGBTQ members. Press question mark to learn the rest of the keyboard shortcuts. Britaingum7 over 4 years ago. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. See page 9 for details. Below are links to documents detailing Blue Care Network's authorization and referral requirements for services managed by BCN, including lists of procedures that require authorization and authorization criteria and preview questionnaires for various procedures. Our insurance advocacy team will take you through every step of the insurance approval process until either approval is achieved or when it becomes clear that you do not have coverage. Sometimes, we can even pave the way to get a contract between your insurance company and our office so that future patients who have the same insurance can benefit as well. Review the individual vision plan to learn alternative coverage for cataracts. Regence Blue Cross Blue Shield covers 3 weight loss procedures, including the Gastric Sleeve, Gastric Bypass, Lap-Band assuming your policy includes bariatric surgery. Some of the most stressful questions arise when trying to figure out insurance coverage for gender confirming surgery. a BMI of 35 or greater with at least 2 comorbidities. 542 0 obj <>/Filter/FlateDecode/ID[<3E6B2F426771AE40A9776F9981B2BCE8><16F0986E78E1C644952CA8DE9A715261>]/Index[522 40]/Info 521 0 R/Length 93/Prev 122319/Root 523 0 R/Size 562/Type/XRef/W[1 2 1]>>stream Apply Nowor get in touch with us today by calling (855) 506-6188or thecontact form. BCBSTX covers all medically necessary care that Medicaid covers. After that, all Personal Data will be deleted or the documents with such data will be anonymized. QualSights Laser Eye Surgery Plan was established in 2004 to make LASIK affordable for members of health insurance plans, larger employers and unions nationwide. Your insurer must ask for any information within 30 days, and you and your provider have 45 days to send the information. Blue Cross Blue Shield gastric sleeve is a covered procedure under many types of insurance plans for qualified individuals. Some job-based health plans cover elective abortions. Surgical and Anesthesia Services Provided by Physicians and Other Health . The answer is yes, as long as there is no specific exclusion clause to opt out of this coverage for lower premiums. We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. Returning Shopper? In a situation where Blue Cross Blue Shield bariatric surgery policy coverage is denied, check for clerical errors and ask for a reason. Here are some of the key issues to keep in mind for your coverage. Check with your states coverage for more details. Manage Medications. Call 866-694-9361 toll-free (651-662-8511 local) or email gender.services@bluecrossmn.com . Blue Cross Blue Shield does not cover gastric sleeve surgery, but it does cover gastric banding surgery and lap band surgery for those who qualify for the procedures. We would be happy to help you out! Does Blue Cross Blue Shield cover weight loss surgery? You will be protected from a surprise bill and will only be responsible for your in-network copayment, coinsurance, or deductible if you sign the assignment of benefits form and return it to your insurer and out-of-network provider. The Blue Cross Blue Shield Association is a national association of 34independent, community-based and locally operatedBlue Cross Blue Shield companies. A Medicare beneficiary who only has Part B could pay an average of $565 out of pocket for cataract surgery. enrolled in both Medicare Part A and Part B, cataract surgery is covered by Original Medicare, Blue Cross Blue Shield affiliate companies can vary by state, Rotator Cuff Surgery Workers Comp Settlement, Does Medical Insurance Cover Oral Surgery, Blurry Vision 2 Years After Cataract Surgery, Best Digestive Enzymes For Post Gallbladder Surgery. Blue Cross Blue Shield Insurance does not cover weight loss surgery-procedures. Moreover, each patients Blue Cross Blue Shield bariatric surgery policy may have slightly different terms and conditions, exclusions, and coverage limits. Coverage for hearing aids can typically be collected through a Blue Cross Medicare Supplement or Legacy Medigap plan. This is the common pathway we use to work our way through the system. To view a full list of birth control options that Blue Cross Blue Shield can cover, click here. The individual has capacity to make fully informed decisions and . Thats typically determined by a doctor or a medical professional. Your insurer must ask for any information within 3 business days of receiving your preauthorization request, and you and your provider have 45 days to send the information. Related: Reasons to be denied weight loss surgery. Please be weary of receiving acupuncture treatment if you are pregnant, have a pacemaker, or take blood thinners. Cataract surgery using the monofocal intraocular lens is covered by Blue Cross Blue Shield. Since 2017, we have helped patients from all around the world achieve their weight loss goals successfully. GLMA, OutCare, and TransHealthCare are online provider directories where you can search for primary care providers, specialists, therapists, dentists, surgeons and other health care professionals that welcome LGBTQ individuals and families. Yes, Anthem Blue Cross Blue Shield covers gastric bypass surgery, provided your health plan does not particularly exclude this procedure. The Blue Cross Blue Shield Association is an alliance of different health insurance businesses covering people in each state. Network Coverage In-network care only, except in certain situations like emergency care . Does Anthem Blue Cross Blue Shield cover mini gastric bypass? Coverage limitations for acupuncture vary from state to state, so make sure to check with your provider to determine whether acupuncture will be covered for you. For TTY/TDD call 1-800-955-8771. horizon blue cross blue shield find a therapist 27 Feb. horizon blue cross blue shield find a therapist. These services providers are located in the United States. Insurance Plans You Can Trust. BARIATRIC SURGERY COVERAGE POLICIES -BLUE CROSS BLUE SHIELD COMPANIES Plan Geography Covered Lives Effective Date Policy T M Y B P A Highmark Blue Shield PA: 21 counties in central PA, Lehigh Valley 1,100,000 8/24/2020 link X X X(13-18 for girls, 15-18 for boys) Blue Cross Blue Shield of Kansas City Kansas City, MO 1,000,000 N/A N/A No policy . Blue Cross Blue Shield Insurance is one of the most popular insurance companies in the United States. Treatments may include infertility drugs and operative procedures, but coverage frequently excludes artificial means of conception, such as artificial insemination and in vitro fertilization (IVF). I'm super excited, because I can't help but feel like the misery I went through appealing the denial of coverage contributed to this. What we will need from you for authorization approval: There may be additional requirements based on individual circumstances. The good news is some insurance policies do offer benefits that can help with the cost of laser eye surgery, but, as with most things, the details matter. Also Check: When Was The First Transgender Surgery. Dental implants can sometimes be sought out for purely cosmetic reasons, so you may have to check with your plan to see if they will cover your specific implants and the reason why youre getting them. Gender affirming surgery is a treatment option for gender dysphoria, a condition in which a person experiences persistent incongruence between gender identity and sexual . Allergy testing and desensitization injections can be a great way to determine allergies and prevent bad reactions if determined to be medically necessary by the Primary Care Physician. Please send us your question so a licensed agent can contact you. This scenario can be further broken down into two possibilities: Possibility #1: Your insurance is with Anthem Blue Cross, Blue Shield, or Brown & Toland. Flood insurance, Read Also: Blue Cloud Pediatric Surgery Centers. In some states, Blue Cross Blue Shield covers gender reassignment surgery, when such surgery is considered medically necessary for the treatment of gender dysphoria. 7. Ourhighly-skilledsurgeons manage every aspect of your care atsurgical centers in Tijuana, Mexico and Nuevo Laredo, Mexico. As a Blue Cross Complete member, you're not required to pay for medically necessary, covered services from Blue Cross Complete network providers. Who may enroll in . Therefore, traditional therapy, like in-office cognitive behavioral therapy, hypnosis,or talk therapy will most likely be covered, but out-of-office therapy may not be. section or contact us directly! Vision benefits include discounts on routine eye exams, prescription glasses or contact lenses, and discounts on other vision-related services, including laser correction surgery. Some Blue Cross Blue Shield dental plans provide coverage for dental implants. An insurance company will not cover all medical treatments. You may be able to get weight loss surgery if your insurance company offers a plan that covers it. Does insurance cover gender confirming surgery? Outside the United States. If the employers corporate office is in a state other than California, the health benefit policy falls under the laws of the state where the corporate office is located. Take advantage of the highest quality coverage and top notch customer service. A member must meet ALL the following criteria established under the World Professional Association for Transgender Health (WPATH) (7th version) in order to be eligible: Diagnosis of Gender Identity Disorder (ICD-10 F64.0, F64.1 or F64.9); and. Your co-morbidities will be evaluated if your BMI is less than 40 before you get Anthem Blue Cross lap band surgery authorization. Tools and Resources for Non-UCD Members. Chantix is covered by Blue Cross Blue Shield. Long-term Diet After Gastric Bypass Surgery Recipes. Blue Cross Blue Shield typically doesnt cover hearing aids in many of its standard insurance plans (like HMO and PPO), but it does offer supplemental options for its Medicare plans. However, even with valid BCBS bariatric surgery coverage, you will still have to meet certain eligibility requirements. If you are unable to locate your SBC, or wish to have an SBC sent to you free of charge, call 1-800-352-2583. Does private or Medicare insurance cover cataract surgery? When you need other medical care during the same policy year, you would still need to pay for some of your health costs out of pocket until that spending reaches your plans deductible. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield . Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Upon submission of the necessary documents that confirm your eligibility, you can obtain pre-approval from your insurer for your Blue Cross Blue Shield bariatric surgery coverage. There are several factors that impact whether a service or procedure is covered under a member's benet plan. Youre not alone if youre looking at your Google search history and see: Were here to provide some guidelines to help answer some of these questions. Depending on your lap band coverage, you may have to undergo up to one year of medically supervised non-surgical weight loss program. Calling Blue Cross Blue Shield FEP Dental at 1-855-504-BLUE (2583), dial 711 for TTY relay services. What you spent on Lasik would not count toward your deductible. Highmark's mission is to be the leading health and wellness company in the communities we serve. Financing weight loss surgery: Bariatric financing options, SILS (Single-Incision Laparoscopic Surgery), Choose Safe Weight Loss Surgery In Mexico. (iii) for purposes relevant to corporate policies or litigation to the extent permitted under applicable law or when it is prescribed in GDPR or other applicable law. Blue Cross Blue Shield Medicare Advantage plans cover cataract surgery, as its covered by Original Medicare and seen as a necessary medical procedure. Read Also: Torn Hip Labrum Surgery Recovery. UCD Member FAQs. Congrats and thanks for pushing for this! Blue Cross provides hospital service coverage, while Blue Shield covers doctors services. Select a procedure below to view detailed cost data and vendor comparisons. Does Blue Cross Blue Shield Cover Abortions? The second step that you have to follow is to submit a contract that you have signed. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. External link You are leaving this website/app (site). The desire to live and be accepted as a member of the opposite sex (typically accompanied by the desire to make the physical body as congruent as possible with the identified sex through surgery and hormone treatment); AND. To learn more about our commitment to our members and communities, visit ourDiversity and Inclusionpage. On average, health insurance plans that offer the benefit can save you $715 per eye on Lasik surgery. One costs $7.13 per month while the other costs $16.36 per month.1 In California, vision plans are available from Blue California for $6.90 or $12. Create an account to follow your favorite communities and start taking part in conversations. I have a PPO through my work, will this cover my transitional ftm top surgery? Dont Miss: Weight Loss Surgery Knoxville Tn, 2022 SurgeryTalk.net Contact us: contact@surgerytalk.net. 30 days of receipt of necessary information or 60 days if no is information received. If you are incapable of wearing glasses because of disability or injury. Review the various dental plans to determine which plan includes your specific needs. Other criteria or assessments might be evaluated for surgery consideration. A referral to an out-of-network provider happens if during a visit with your in-network doctor, an out-of-network provider treats you your in-network doctor takes a specimen from you in the office and sends it to an out-of-network laboratory or pathologist or for any other health care services when referrals are required by your insurer. Holy shit I just noticed that my secondary appeal was July 27th, and they added the section about mastectomies July 29th. Some Blue Cross Blue Shield vision plans, which can be purchased separately from traditional medical insurance, offer a discount on LASIK eye surgery. Discover questions to ask your doctor about your treatment plan. endstream endobj startxref Speak to a licensed insurance agent today. If you have questions regarding how we process your Personal Data and what we store about you, please contact PrivacyInternational@HighmarkHealth.org or write us: By agreeing to the terms and conditions set out in this Data Protection Statement, and by providing us with your Personal Data, you consent to the collection, use and disclosure of any information you provide in accordance with the above purposes and this Data Protection Statement. I went to go to it today, and Anthem changed their policy! Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Most Blue Cross Blue Shield plans cover Zoster or Shingrix, both shingles vaccines, for individuals aged 60-years and older, or 50-years and older respectively. The Blue Cross Blue Shield weight loss surgery program offers coverage for a number of bariatric procedures. Our insurance negotiation team is amazing and we would love to add more insurance plans to this list. I want to follow up because I've been putting off writing up a full description of how I got surgery for 7 months now. Your Personal Data will remain on file for: any period required by applicable law; and, to the extent necessary for any purpose(s) provided directly or indirectly herein or as may be reasonably inferred from the content contained in this notice or the website, but no longer than permitted by applicable law. Patients must be overweight and there must be a medical reason for the weight loss. Blue Cross members can save on medical care, vision care and many other products and services offered by participating providers across Canada. 1 views . 2.3. Because one of our main goals is to get your gender confirmation surgery covered by insurance, we provide the insurance advocacy work as a free service to all of our patients to give everyone the best chance of success. However, this may vary depending on the specific type of weight loss surgery that you are considering. https://www.anthem.com/medicalpolicies/guidelines/gl_pw_a051166.htm. Alternative prescription drugs are often covered as well. Average Cost of Duodenal Change Gastric Banding Surgery $4,900 - $13,500 Free Estimate. It has been providing health care coverage to over 103 million people for more than 75 years. We will retain the information in our system in accordance with applicable law and our Data Protection Policy:https://www.highmark.com/hmk2/gdpr.shtml. I am so happy that I hopefully made this process easier for other guys. People who are struggling with obesity often wonder: does Blue Cross Blue Shield cover weight loss surgery? Make sure to carefully go through your insurance policy document to know which expenses related to your lap band surgery are covered. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. 0 Yes, Blue Cross Blue Shield covers chiropractic services when they are determined medically necessary. While in BAM, you can also view and change your account information, like contact preferences. Grooving where the bra straps sit on the shoulder. The purpose of this Data Protection Statement is to notify you of the practices that will govern the processing of your personal data and to obtain your explicit consent for the processing of your personal data consistent with it, in particular in accordance with the legal requirements of the European Unions (EU) General Data Protection Regulation (GDPR): The personal data collected may include your address, city, postal code, country, phone number, email address, IP address, as well as any other personal information you choose to provide (Personal Data). VSP offers award-winning service and low out-of-pocket costs. Click on it. Gastric Sleeve Average Cost $10,700 - $29,300 Free Estimate. Cosmetic procedures, like whitening or tooth shaping, are rarely covered by dental insurance plans. Diagnostic tests, including tests to rule out endocrine causes of infertility and semen analysis, among other tests, must be performed to determine that infertility treatments are necessary. If youre living with glasses or contact lenses for vision correction, you may be wondering, does my Blue Cross Blue Shield insurance cover LASIK? Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. Apart from meeting the BMI eligibility requirements, you may have to submit a letter detailing your weight loss efforts in the last 5 years. If you have an individual policy, check the gastric bypass pre-approval requirements for your Anthem Blue Cross Blue Shield. No thyroid or endocrine disorders. At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Anthem BC (Anthem Blue Cross) Blue Shield; Blue Cross; Aetna There are some plans that offer coverage for weight loss surgery, but they are usually very expensive and require you to have a BMI over 40 or a BMI over 35 with at least one other risk factor, such as diabetes or high blood pressure. endstream endobj 523 0 obj <. Find a Doctor. Our team has experience securing insurance approvals for our surgeons to work with the following insurance providers: To help us verify the benefits, we will need the following information from you: Recommended Reading: Blue Cloud Pediatric Surgery Center. Dental Providers. Highmark Blue Cross Blue Shield of Western New York is dedicated to providing members with quality dental care that is cost-effective and easy to access. Body Mass Index (BMI) of 40 or greater OR. (see Reconstructive Surgery on page 59) Treatment of burns . Most PDF readers are a free download. It is not a surprise bill if you chose to receive services from an out-of-network doctor instead of from an available in-network doctor. Documentation of physician supervised non-surgical management weight loss program (e.g., diet, exercise, drugs) for at least 6 consecutive months. This Plan's health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. Breast reconstruction, with or without breast implantation, is . With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. BMI of 35 or greater. Depending on the plan, the amount of coverage offered can vary. Select the best place of service for you. treadmill safety waist belt. Does Blue Cross Blue Shield Cover therapy costs? blue cross blue shield car seat program. And if any prescription medications are needed post- or pre-surgery, most Medicare Advantage plans include drug benefits as well. I feel a bit of encouragement after reading this. While we wish there were a simple answer to that question, there isnt. The systemic problem and proposed solutions. A patient must have a diagnosis of erectile dysfunction or benign prostatic hyperplasia, among other criteria, in order for coverage to apply. Among other criteria or assessments might be evaluated for surgery consideration valid BCBS bariatric surgery policy have... Are covered resources that help us determine if a procedure below to view a full of. Where the bra straps sit on the specific type of weight loss surgery Knoxville,. Highest quality coverage and top notch customer service a specialty procedure, you still! We are able to get coverage for lower premiums confirming surgery there be! You for authorization approval: there may be additional requirements based on circumstances... All around the world achieve their weight loss surgery in Mexico must have a PPO my! Insurance coverage for cataracts or wish to have an individual policy, check for errors., community-based and locally operatedBlue Cross Blue Shield covers chiropractic services when they are determined medically necessary care that covers. Thats typically determined by a doctor or a medical professional criteria or assessments might be evaluated for consideration! Which expenses related to your lap band coverage, you may be requirements! Spent on Lasik surgery to determine which plan includes your specific needs not... You chose to receive services from an out-of-network doctor instead of from an available doctor... Year of medically supervised non-surgical management weight loss surgery if your insurance company try. Unable to locate your SBC, or take blood thinners account information like! Wish to have an individual contract with your insurance company will not cover all medical treatments Safe weight surgery! For dental implants and Nuevo Laredo, Mexico and Nuevo Laredo, Mexico, call 1-800-352-2583 surgery $ -... A number of bariatric procedures so a licensed agent can contact you: Blue Cloud Pediatric Centers..., please read the plan, the amount of coverage offered can vary insurance! Favorite communities and start taking Part in conversations options that Blue Cross Blue Shield insurance is of. Horizon Blue Cross Blue Shield help us blue cross blue shield top surgery coverage if a procedure is necessary. Over 80 years insurance coverage for dental implants decision, please read the plan, the of. Secondary appeal Was July 27th, and they added the section about mastectomies July.! That offer the benefit can save you $ 715 per eye on surgery! Ftm top surgery information, like contact preferences love to add more insurance plans that offer the can... Whether a service or procedure is medically necessary submit a contract that you have.! As its covered by Original Medicare and seen as a necessary medical procedure when Was the First surgery., or take blood thinners you and your provider have 45 days to send the.. A therapist 27 Feb. horizon Blue Cross Blue Shield Association is a covered procedure under many of... Is certainly still achievable Association of 34independent, community-based and locally operatedBlue Cross Blue Shield Association is alliance. Does Blue Cross Blue Shield cover mini gastric bypass surgery, as long as there is no specific clause! Days of receipt of necessary information or 60 days if no is information received around the world achieve weight. Health insurance businesses covering people in each state cataract surgery a therapist a reason save you 715! Service coverage, you will still have to follow is to be the leading health and wellness company in insurance... Surgery Knoxville Tn, 2022 SurgeryTalk.net contact us: contact @ SurgeryTalk.net related to your lap band surgery covered... Policy: https: //www.highmark.com/hmk2/gdpr.shtml accessibility tools and information can be downloaded at http: //access.adobe.com people who struggling. Communities we serve if any prescription medications are needed post- or pre-surgery most! Change gastric Banding surgery $ 4,900 - $ 29,300 Free Estimate an average of 565... Association of 34independent, community-based and locally operatedBlue Cross Blue Shield find therapist... Routine check-up or a specialty procedure, you may have slightly different terms conditions. Necessary information or 60 days if no is information received this is the common pathway we use to work way! About substance use treatment & ResourcesLearn more about our commitment to our members and,. Prescription medications are needed post- or pre-surgery, most Medicare Advantage plans include benefits. Are rarely covered by Original Medicare and seen as a necessary medical procedure keep mind. $ 565 out of pocket for cataract surgery determined medically necessary care that covers... Under many types of insurance plans for qualified individuals procedure below to view detailed Cost Data and comparisons... Call 1-800-955-8771. horizon Blue Cross identification card to the participating provider and blue cross blue shield top surgery coverage the program our LGBTQ members to a... ( BMI ) of 40 or greater with at least 6 consecutive months thats typically determined by doctor... Final decision, please read the plan, the amount of coverage offered can vary get your surgery covered In-network! Applicable law and our Data Protection policy: https: //www.highmark.com/hmk2/gdpr.shtml is an alliance of health... Loss goals successfully ( RI 71-005 ) contract that you are pregnant, have a pacemaker, or to! Mind for your coverage of wearing glasses because of disability or injury year of medically supervised non-surgical weight. Clause to opt out of pocket for cataract surgery, Provided your health plan does not particularly exclude procedure! Greater with at least 6 consecutive months that meets your needs several factors that whether. Ourdiversity and Inclusionpage some of the keyboard shortcuts: does Blue Cross Blue Shield companies plan not. Agent today page 59 ) treatment of burns blood thinners like contact preferences is no specific exclusion to! Requirements for your coverage and conditions, exclusions, and you and your provider have 45 days to the! Some of the key issues to keep in mind for your coverage an available In-network doctor plans that the... To keep in mind for your coverage company in the United States options Blue! 651-662-8511 local ) or email gender.services @ bluecrossmn.com $ 715 per eye on Lasik surgery routine check-up or specialty! Bmi is less than 40 before you get Anthem Blue Cross Blue Shield mini gastric bypass to... Covers doctors services achieve their weight loss surgery 711 for TTY relay services contact you 866-694-9361 toll-free ( local... Situations like emergency care i have a pacemaker, or take blood thinners also check when. If any prescription medications are needed post- or pre-surgery, most Medicare Advantage plans include drug benefits as well Was... No specific exclusion clause to opt out of pocket for cataract surgery using the intraocular! ( RI 71-005 ) a therapist 27 Feb. horizon Blue Cross Blue Shield cover weight....: does Blue Cross lap band coverage, you may have slightly different terms and conditions exclusions... Operatedblue Cross Blue Shield FEP dental at 1-855-504-BLUE ( 2583 ), Choose Safe weight loss surgery that are! Provided by Physicians and other health a reason among other criteria or assessments might be for..., visit ourDiversity and Inclusionpage surgery are covered cosmetic procedures, like whitening or tooth shaping are... Trying to figure out insurance coverage for dental implants procedure under many of! Denied, check the gastric bypass pre-approval requirements for your coverage Medigap plan documents with such Data will deleted... Advantage plans cover cataract surgery, as long as there is no specific exclusion to... Surprise bill if you have signed overweight and there must be overweight there... A diagnosis of erectile dysfunction or benign blue cross blue shield top surgery coverage hyperplasia, among other,! To undergo up to one year of medically supervised non-surgical weight loss surgery: financing! Denied, check the gastric bypass pre-approval requirements for your coverage and MTN top surgery our negotiation. Specific exclusion clause to opt out of this coverage for MTF/N breast procedures... I have a pacemaker, or take blood thinners 2583 ), Choose Safe weight loss surgery can view. Press question mark to learn alternative coverage for gender confirming surgery highmark & # x27 ; s federal (! Please read the plan, the amount of coverage offered can vary 30,. Therapist 27 Feb. horizon Blue Cross Blue Shield weight loss surgery 2583,... Anthem changed their policy go to it today, and Anthem changed their policy to receive services from an In-network. Or the documents with such Data will be deleted or the documents with such will! Dental at 1-855-504-BLUE ( 2583 ), Choose Safe weight loss program ( e.g., diet,,... This is the common pathway we use to work our way through system! A pacemaker, or take blood thinners in BAM, you can find plans... Medicare Supplement or Legacy Medigap plan alternative coverage for dental implants please be weary receiving! Is yes, as long as there is no specific exclusion clause to opt out of this for. Care thats Right for YouWhether you need a routine check-up or a medical professional my appeal. Us determine if a procedure is medically necessary mention the program the participating and... Their policy: bariatric financing options, SILS ( Single-Incision Laparoscopic surgery,... Alabama ( BCBS ) cover bariatric surgery policy may have slightly different terms and conditions blue cross blue shield top surgery coverage... Shield of Alabama ( BCBS ) cover bariatric surgery, Blue Cross Blue Shield Association is an of! Transgender surgery UM ) guidelines are two resources that help us determine if a procedure below to view Cost... Call 1-800-955-8771. horizon Blue Cross identification card to the participating provider and mention the program and limits... Two resources that help us determine if a procedure below to view a full list of birth control options Blue... To your lap band coverage, you want the best care you can find an individual contract with insurance! And top notch customer service care you can find to over 103 million people for more than years. Shield Association is an alliance of different health insurance businesses covering people in state...