Cigna medical policy bariatric surgery

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August undefined, 2024

Webstates that "body contouring surgery is ideally performed after the patient maintains a stable weight for two to six months. For post bariatric surgery patients, this often occurs 12-18 months after surgery or at the 25 kg/mg2 to 30 kg/mg2 weight range" (ASPS, 2007d). WebOct 3, 2024 · Most policies with Cigna cover weight loss surgery. However, some benefit plans do specifically exclude bariatric surgery. Contact Cigna directly to find out if your …

Cigna Bariatric Surgery Requirements - Bariatric Journal

WebThis question is for testing whether you are a human visitor and to prevent automated spam submission. Audio is not supported in your browser. WebReoperation and Repeat Bariatric Surgery: Cigna covers surgical reversal (i.e., takedown) of bariatric surgery as medically necessary when the individual develops complications from the original surgery such as stricture or obstruction. philip and lorna sarrells

Gastric Sleeve Surgery Cigna

WebCoverage described in this policy is standard under most HPHC plans. Specific benefits may vary by product and/or employer group. Please reference appropriate member materials (e.g., Benefit Handbook, Certificate of Coverage) for member-specific benefit information. Medical Policy Bariatric Surgery Subject: Bariatric Surgery. Authorization: WebExperts suggest that a woman wait for 1 to 2 years after bariatric surgery to get pregnant.footnote 1This surgery helps people lose a lot of weight quickly. Getting … WebOct 28, 2024 · Anyways, I do meet the requirements but my question is regarding Cigna coverage. Most plans require a monitored 3, 6 or 12 month diet/nutrition/weight loss management through PCP or somewhere similar. Cigna's policy says NOTHING about this, only that "a statement from a physician other than the surgeon, that the individual has … philip and lillian

Insurance Coverage - Bariatric Surgery UCLA Health

CHCP - Resources - Policy Updates July 2024 - Cigna

WebThis Coverage Policy addresses bariatric surgery and procedures for the treatment of morbid obesity. Coverage Policy Coverage for bariatric surgery or revision of a bariatric surgical procedure varies across plans and may philipandlindsay.minted.usWebparticipate, for a minimum of six months, in a pre-operative bariatric surgery weight loss program. Replaced medical policy language includes the following: C. History of rigorous attempts at weight reduction: 1. There must be written evidence of a weight loss history, either by the bariatric surgeon, primary care physician or nutritionist. philip and margaret

"Webparticipate, for a minimum of six months, in a pre-operative bariatric surgery weight loss program. Replaced medical policy language includes the following: C. History of … " - Cigna medical policy bariatric surgery

Cigna medical policy bariatric surgery

WebJul 15, 2024 · Details. Medical Coverage Policies. The information in this section is effective July 15, 2024, unless otherwise noted: Bariatric Surgery and Procedures – (0051) Modified. Important changes in coverage criteria: Minor grammatical edits/corrections, including clarifying procedure names. Removed gastroplasty (stomach stapling) from … WebYou have this type of surgery to help you lose weight. It may be considered if your body mass index (BMI) is at least 40, or if it's at least 35 and you have other weight-related …

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WebCigna covers 4 weight loss procedures, including the Gastric Sleeve, Gastric Bypass, and Lap-Band, assuming your policy includes bariatric surgery. This page explains … WebGastric Bypass Surgery. A (also called Roux-en-Y gastric bypass) is surgery to help you lose weight. It does this in two ways. First, it makes the stomach smaller. Second, it changes the connection between the stomach and the intestines. These changes help you eat less and feel full sooner. By making several small cuts and using small tools and ...

WebJun 25, 2014 · Bariatric surgery proceduress covered by Cigna-HealthSpring PPO are: Gastric Stapling. Gastric Bypass. Lap Band. Biliopancreatic Bypass (This is only for patients with a BMI in excess of 60) If the patient meets all the requirements outlined above, Cigna-HealthSpring PPO covers the entire cost of the weight loss surgery procedure. WebSleeve gastrectomy (also called gastric sleeve surgery) is surgery to remove part of the stomach. It helps with weight loss. The surgery limits the amount of food your stomach …

WebBariatric Surgery Procedures Covered. Cigna Health Insurance covers Roux-en-Y gastric bypass, biliopancreatic diversion with duodenal switch for individuals with a BMI … WebOct 15, 2024 · Removed statement requiring recommendation for bariatric surgery by clinician other than the bariatric surgeon. Added coverage of single-anastomosis …

WebOct 15, 2024 · This new policy is effective for claims with a discharge date on or after October 18, 2024. Unless otherwise noted, the following medical coverage policies were modified effective October 15, 2024: Clarified facility types/locations in existing policy statement. Ambulatory External and Implantable Electrocardiographic Monitoring – (0547 ...

WebCigna covers bariatric surgery for the treatment of morbid obesity using a covered procedure outlined below as medically necessary when ALL of the following criteria are … philip and mary shillingWebstates that "body contouring surgery is ideally performed after the patient maintains a stable weight for two to six months. For post bariatric surgery patients, this often occurs 12-18 … philip and lisa falconeWebSpinal Surgery Form; Ongoing Therapy Form; Electronic EOB's and EFT; Please contact PayPlus Solutions at the following information. Have your Name, Contact information, and your Tax ID available. 877-828-8770 [email protected] Additional PayPlus Information; Click here to become a Cigna Provider philip and mary englishWebTo schedule a consultation with UCLA Bariatric Surgery in Los Angeles, California, call us at 310-825-7163 or fill out our online form. For a physician referral, please call (800) UCLA-MD1 (825-2631). *Weight loss results can vary depending on the individual. There is no guarantee of specific results. Read full disclaimer. philip and mary great sealWebOct 1, 2024 · Coverage of services is subject to the terms, conditions, limitations of a member’s policy and applicable state and federal law. Please reference the member’s policy documents (e.g., Certificate/Evidence of Coverage, Schedule of Benefits) or to confirm coverage contact 855-672-2755 for Oscar Plans and 855-672-2789 for … philip and mary reignWebCigna of Alabama covers several bariatric procedures, including the gastric sleeve or sleeve gastrectomy, the roux-en-y gastric bypass, and duodenal switch. These procedures are commonly performed by the surgeons at Surgical Association of Mobile and have proven to be safe and effective procedures. philip and mary groatWebApr 6, 2024 · The full list is available on the Aetna site under Clinical Policy Bulletin: Obesity Surgery. CIGNA. CIGNA said bariatric surgery coverage is an option available under Cigna’s group medical plans, and clients can choose to include it. Right now, most CIGNA customers in employer-sponsored plans have that coverage. philip and michael