The gastric sleeve, also known as a sleeve gastrectomy, and the gastric bypass are among the bariatric operations covered by Florida Blue. These are the two most popular weight-loss surgeries, and they’re both safe and effective. Some people may be eligible for Lap-Band surgery, which may be covered by insurance. During your appointment, your surgeon will go over your operation options and the benefits and drawbacks of each, keeping your specific needs and goals in mind.
There are some bariatric operations that BCBS of Florida does not cover. The intragastric balloon, the Lap-Band for patients with a lower BMI, and any operations they consider experimental, such as Mini Gastric Bypass, are among them.
Does Florida insurance cover weight loss surgery?
Under Obamacare’s weight-loss surgery guidelines, insurance companies must cover all individual, family, and Small Group plans (those with 50 or less full-time employees) ONLY IN STATES WHERE Bariatric surgery is considered an option “An Important Health Advantage.”
Essential Health Benefits are chosen in each state based on the health insurance plan that legislators believe is the most representative of the population “The state’s “average” plan. Unfortunately, under Obamacare, insurance companies in Florida are not compelled to cover weight loss surgery. Obesity surgery is not covered if you live in Florida and have health insurance through the Affordable Care Act. Please visit our page to learn more about the benefits of utilizing a
Does Florida Blue Blue options cover bariatric surgery?
Weight loss surgery is covered by the Blue Cross Blue Shield Federal Employees Program and Blue Cross Blue Shield Florida.
Morbid obesity is an illness, according to ObesityCoverage, and every insurance company should cover these life-saving surgeries. As a result, we’re pleased to report that weight loss surgery is covered by BCBS Florida and BCBS Federal. In fact, most of the Blue Cross Blue Shield networks cover weight loss surgery in some way.
It’s crucial to note that your business can usually opt out of weight reduction surgery coverage for its employees’ policy. This usually results in the company saving money on their insurance premiums. The following is the contact information for BCBS Federal and BCBS Florida.
Even if your coverage excludes weight loss surgery, you may be able to dispute its exclusion because BCBS has demonstrated that these procedures are medically required. Check out our post on questions to ask before calling your insurance carrier before calling.
Does Cigna cover bariatric surgery in Florida?
Several bariatric procedures are covered by Cigna of Florida. The gastric sleeve (sleeve gastrectomy) and the gastric bypass are two of these procedures. The two most common weight-loss operations are these two. In Florida, there are various bariatric treatments that Cigna does not cover. The intragastric balloon, the Lap-Band for individuals with a lower BMI, and experimental surgeries are also not covered.
How much does gastric sleeve surgery cost in Florida?
How much does an inpatient gastric sleeve cost? The cost of a Gastric Sleeve (inpatient) in Florida ranges from $12,188 to $17,421, according to MDsave. Those with high deductible health plans or those who are uninsured can shop, compare costs, and save money.
Does Medicaid cover gastric sleeve?
Lap-Band Surgery, gastric sleeve surgery, and gastric bypass are all covered by Medicaid in most circumstances. These are not just easily funded by Medicaid, but they are also among the most frequently recommended operations. In some cases, these are deemed medically necessary for the patient’s survival and well-being.
Gastric bypass surgery reduces the size of the stomach while also bypassing a portion of the intestine. As a result, you eat less and the food is delivered directly to the lower intestine. Nutrient and calorie absorption is reduced as a result of the bypass. As a result, it limits food intake while also assisting in weight loss. The top region of the stomach is covered with silicone bands and balloons in Lap-Band surgery. This limits the amount of space available for food storage. In addition, the stomach’s entrance narrows. The technique is less invasive than others because it is performed laparoscopically. It is also desirable because it is simple to reverse and the band can be changed. Finally, a sleeve-shaped, smaller stomach is constructed through gastric sleeve surgery. Because there isn’t much room for food to sit, it passes through the intestines quickly. As a result, it also reduces food intake and calorie absorption.
What is the difference between gastric bypass and gastric sleeve?
Working with your doctor to determine the best weight loss technique for you is recommended.
- On average, gastric bypass patients lose 50 to 80 percent of their excess body weight in 12 to 18 months.
- Patients who have a gastric sleeve lose 60 to 70 percent of their excess body weight in 12 to 18 months on average.
- Gastric bypass surgery is usually suggested for individuals who are extremely obese, with a BMI of 45 or more.
Learn more about our surgical choices and compare the differences between the various bariatric surgery treatments available at UPMC Bariatric Services.
How much is gastric sleeve surgery?
Gastric sleeve surgery costs an average of $9,350. 1 Anesthesia, the hospital facility charge, surgeon’s costs, pre-operative lab and X-ray fees, and follow-up treatment are usually included in this cost. Keep in mind that the cost of your surgery will vary based on your surgeon, the location of the practice, and the number of days you need to stay in the hospital. Consultations with a dietician or nutritionist can cost anywhere from $70 to $100 per appointment, however the initial consultation may be more expensive. 2
Does insurance cover gastric sleeve surgery?
If you’ve been unable to lose weight through diet and exercise because of a medical issue, such as sleep apnea or heart problems, certain health insurance companies may pay all or a portion of the cost of gastric sleeve surgery. In most circumstances, you’ll need to have medically necessary weight loss surgery due to established health difficulties associated to being overweight.
Out-of-pocket costs for a sleeve gastrectomy for patients with insurance coverage can include deductibles, coinsurance, and copays. Your weight reduction surgery charges may be paid by your Medicare plan if you’re covered by Medicare and fulfill certain requirements. 3
Because some health insurance policies do not cover bariatric surgery, it’s a good idea to double-check with your provider. Even if your insurance doesn’t cover the cost of gastric sleeve surgery, many of the associated costs, like as lab testing, pre-op exams, and other pre-op prerequisites, may be covered.
How can I finance and pay for gastric sleeve surgery?
Some bariatric surgeons and hospitals offer payment plans, so inquire with your doctors about the possibility of paying for your sleeve gastrectomy expenditures in installments. A credit card can also be used to pay for weight loss surgery.
How long does it take for Cigna to approve a surgery?
Your insurance carrier will either approve or deny your prior authorization request within 5-10 business days of receiving it.