Does Blue Care Network cover bariatric surgery

If you are considering bariatric surgery and are a Blue Care Network member, you may be pondering if your insurance plan covers this procedure. Blue Care Network covers bariatric surgery for eligible members, to put it briefly. Nonetheless, it is essential to comprehend the specifics of your coverage and the requirements necessary to qualify for the procedure.

Bariatric surgery is covered as a medically necessary remedy for obesity by Blue Care Network. This indicates that it is covered for members who meet certain criteria, such as having a body mass index (BMI) of 40 or more, or a BMI of 35 or more with at least one obesity-related medical condition.

It is essential to work closely with your healthcare team to determine if bariatric surgery is the best option for you if you are considering it. Your physician can explain the potential risks and benefits of the procedure, as well as any alternative treatment options that may be available.

If you decide to undergo bariatric surgery, you must meet specific requirements to be eligible for coverage under your Blue Care Network plan. This may involve completing a pre-operative evaluation and attaining specific weight loss objectives prior to the procedure.

It is also essential to note that your coverage may be subject to certain restrictions or exclusions, dependent on the specifics of your plan. For instance, some plans may require prior authorization before scheduling a procedure or may limit the number of follow-up appointments or other covered services.

Overall, if you are a Blue Care Network member considering bariatric surgery, it is crucial that you take the time to comprehend your coverage and collaborate closely with your healthcare team to ensure you meet all necessary requirements. With the proper support and guidance, bariatric surgery can be an effective treatment option for obesity, leading to improved health and wellness over the long term.