Cigna medical policy bariatric surgery
WebApr 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. 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).
Cigna medical policy bariatric surgery
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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 …
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 WebPer Cigna's Medical Coverage Policy # 0051 regarding Bariatric Surgery, the Gastric Sleeve is now covered by Cigna's insurance plans if patients meet the full requirements. A Body Mass Index (BMI) of 35 or greater along with a written letter detailing all prior attempts at weight loss programs, including diet and exercise, over the last 5 years ...
WebCoverage for bariatric services is determined based on both the customer's benefit plan and the Cigna Medical Coverage Policy on Bariatric Surgery. For information on your patient's eligibility and benefits for bariatric services, go to Patients > Search Patients (Verify Eligibility, Estimate Patient Liability). WebYou may have higher expenses with an out-of-pocket doctor but you don’t have to pick an in-network doctor if you do not want to. However, take a look at your policy to be sure. If you have questions about the coverage for weight loss surgery with Cigna, call them at 1-800-244-6224 anytime of the day or night. Schedule An Appointment.
WebBariatric Surgery Procedures Covered. Cigna Health Insurance covers Roux-en-Y gastric bypass, biliopancreatic diversion with duodenal switch for individuals with a BMI …
WebNov 27, 2011 · Here is the cigna medical policy for weight loss surgery. ... CIGNA covers bariatric surgery using a covered procedure outlined below as medically necessary when ALL of the following criteria are met: • The individual is ≥ 18 years of age or has reached full expected skeletal growth AND has evidence of EITHER of the following: ???? fnf beautiful day outsideWebJul 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 … green topicsWebBariatric Surgery Bariatric surgery is performed to treat morbid (clinically severe) obesity. Morbid obesity is defined as a body mass index (BMI) greater than 40 kg/m2 or a BMI greater than 35 kg/m2 with associated complications including, but not limited to, diabetes, hypertension, or obstructive sleep apnea. Morbid green top hunting \u0026 fishingWebCoverage 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: fnf beauty and the beastWebWhat Are The Requirements Defined By Cigna For Weight Loss Surgery. Most Cigna policies will cover weight loss surgery. But, some plans will exclude the bariatric … fnf beavis and buttheadWebWeight-Loss (Bariatric) Surgery. Bariatric surgery is surgery to help you lose weight. This type of surgery is only used for people who are very overweight and have not been able … fnf bedwarsWebSep 24, 2013 · D. Other. Effective for services performed on and after June 27, 2012, Medicare Administrative Contractors (MACs) acting within their respective jurisdictions may determine coverage of stand-alone laparoscopic sleeve gastrectomy (LSG) for the treatment of co-morbid conditions related to obesity in Medicare beneficiaries only when … fnf beauty and the bomb