What Insurance Covers Bariatric Surgery In Tennessee?

Weight loss surgery is covered by Blue Cross Blue Shield Tennessee, however it must be included in your specific insurance for it to be covered.

A list of Blue Cross Blue Shield Tennessee plan types and whether or not they cover bariatric surgery is shown below:

Does TN require insurance to cover weight loss surgery?

  • OR a BMI of 35 or higher with at least two comorbidities, which may include:
  • This information is typically gathered during doctor appointments, such as your annual physical checkup.
  • Participation in a weight-loss program that is medically monitored. This must be documented, and it must have happened within the previous two years.

TennCare AmeriGroup patients may additionally need blood tests, clearance from a cardiologist and/or pulmonologist, and a dietary assessment.

Does BCBS of TN cover weight loss surgery?

Weight loss surgery is covered by Blue Cross Blue Shield Tennessee, however it must be included in your specific insurance for it to be covered.

How much is gastric bypass surgery in Tennessee?

We looked at all of the bariatric surgeons in the Nashville area and chose the best ones based on their expertise, education, and empathy.

In 2018, the population of Nashville, Tennessee was 0.693 million people. Obesity is being addressed in Davidson County, Tennessee, which encompasses the city of Nashville and has a population of 626,681. Adult obesity is at 24.7 percent, with another 37.4 percent of adults in Davidson County being overweight.

The price of weight-loss surgery in Nashville is determined by a variety of factors, including the hospital, the surgeon’s fees, and the treatment itself. Lap-band surgery costs an average of $14,500, whereas gastric bypass surgery costs an average of $23,000. When a patient meets specific criteria, the insurer will cover a portion of the cost.

Uninsured people make up 9.52 percent of the population in Nashville-Davidson-Murfreesboro-Franklin, TN. The number of uninsured people in the state increased by 8.82 percent from 2016 and 2017. Non-group health insurance covers 13% of the population, Medicaid covers 12.7 percent, Medicare covers 9.83 percent of the population, military or VA coverage covers 1.51% of the population, and employer health insurance covers 53.5 percent of the population.

How much does gastric sleeve cost in Tennessee?

How much does an inpatient gastric sleeve cost? A Gastric Sleeve (inpatient) costs $9,847 to $18,500 in Lebanon, Tennessee, according to MDsave.

How long does it take for TennCare to get approved?

After you’ve submitted all of the requested information, TennCare has up to 45 days to process your application. TennCare will make the final decision. Your application will be granted or denied and you will receive a letter in the mail.

Does Blue Cross Blue Shield TN cover Panniculectomy?

When the medical requirements and parameters listed below are met, BCBSNC will cover Panniculectomy if treatment is considered to be medically necessary.

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 can I lose weight with surgery?

Bariatric surgery, which includes gastric bypass and other weight-loss treatments, involves making adjustments to your digestive system to help you lose weight. When diet and exercise haven’t worked or you’re having major health problems as a result of your weight, you may need bariatric surgery.

How much is TennCare a month?

Premiums are split between the employer, the employee, and the state and range from about $113 to $327 per month. Age, weight, and cigarette usage all affect premiums. There are copayments for those who earn less than 250 percent of the FPL and have been uninsured for at least 3 months prior to applying.

Is TennCare free?

You must qualify for TennCare Medicaid to be eligible for TennCare as a new applicant.

  • To obtain help over the phone, call TennCare Connect for free at 855-259-0701.
  • Any DHS office in Tennessee’s 95 counties is open to you. You will be assisted by a member of the staff who is well-versed in the application process. More than 350 state staff have been trained to assist you. The DHS office in your county can be found here.
  • Private groups may be able to assist you. Look for someone in your area. You can also contact us by phone at 1-866-475-7879.

Someone can even come to your house to assist you apply for TennCare if you have a disability. Simply dial 1-866-836-6678 to reach your local Area Agency on Aging and Disability (AAAD).

If you require assistance in obtaining Long-Term Care or wish to apply for the Medicare Savings Program.