Priority Health Bariatric Surgery Policy

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Surgical Treatment of Obesity - Priority Health

(2 days ago) WebCorrective Revisional Bariatric Surgery - Section I, C, 2, a-c below), a second bariatric surgery is not Covered, even if the initial bariatric surgery occurred prior to Coverage under this plan. 6. The adjustable silicone gastric banding (LAP-Band) was …

https://www.priorityhealth.com/provider/manual/-/media/0241f20f13ae4de5aa66d38e8cd9bdb3.ashx

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February 2023 medical policy updates - Priority Health

(9 days ago) WebThe following policy changes were approved by our Medical Advisory Committee and are effective February 2023: Surgical Treatment of Obesity - #91595. …

https://www.priorityhealth.com/provider/manual/news/standards/02-22-2023-february-2023-medical-policy-updates

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Priority Health Weight Loss Surgery – How to Avoid a Denial

(1 days ago) WebContent Advertising. Priority Health covers 4 weight loss procedures, including the Gastric Sleeve, Gastric Bypass, Duodenal Switch assuming your policy …

https://www.bariatric-surgery-source.com/priority-health-weight-loss-surgery.html

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Medical Policy - Highmark

(3 days ago) WebThe following bariatric procedures may be considered medically necessary for the surgical treatment of morbid obesity when ALL of the patient selection criteria are met.Bariatric …

https://secure.highmark.com/ldap/medicalpolicy/wpa-highmark/G-24-050.html

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CG-SURG-83 Bariatric Surgery and Other Treatments for Clinically …

(2 days ago) WebThe weighted mean BMI of the bariatric surgery group was 45.7 (41.2 to 52.8) compared to 36.0 (32.9 to 39.9) in the nonsurgical control group (of note, the mean …

https://provider.simplyhealthcareplans.com/dam/medpolicies/simply/active/guidelines/gl_pw_d085821.html

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2023 Bariatric Surgery

(7 days ago) WebThe following health plans within North America have changed their medical policy for Bariatric Surgery Low BMI Reported Date Plan Covered Lives Geography …

https://asmbs.org/wp-content/uploads/2023/12/169100-211213-Bariatric-Coverage-Changes_ASMBS-12-6-2023-1.pdf

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Medical Policy & Procedure - Health Alliance

(7 days ago) WebMedical Policy & Procedure Policy Name: Medical Policy: Bariatric Surgery for Severe Obesity Policy #: MP-36 Policy Information Owner Department: Medical UM & Systems …

https://www.healthalliance.org/MedicalPolicy/GetPolicy/38

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New Jersey Weight Loss Surgery RWJBarnabas Health

(1 days ago) WebWeight loss surgery — or "bariatric surgery" — involves reducing the size of the patient's stomach. This means that a patient will feel full sooner, eat less, and with the help of …

https://www.rwjbh.org/treatment-care/weight-loss-and-bariatric-surgery/

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Comprehensive Care for Bariatric Surgery Patients

(Just Now) WebObesity is a worldwide epidemic, and those suffering from obesity have increased morbidity and mortality rates. There are various causes of obesity and many …

https://aacnjournals.org/aacnacconline/article/28/3/263/2255/Comprehensive-Care-for-Bariatric-Surgery-Patients

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Weight loss surgery - HealthPartners

(2 days ago) WebPrior authorization is required for weight loss (bariatric) surgery in members less than 18 years of age. All requests for coverage in members less than 18 years of age will be …

https://www.healthpartners.com/ucm/groups/public/@hp/@public/@cc/documents/documents/aentry_046184.pdf

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Surgical Treatment of Obesity - Priority Health

(2 days ago) WebCriteria 1-4 must be met to be considered for Primary Bariatric Surgical (PBS) and Revisional Bariatric Surgical (RBS) treatment of obesity: Age > 18 years and …

https://www.priorityhealth.com/provider/manual/news/authorizations/-/media/ae4251b306bb4445800028286963e1f0.ashx

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Bariatric Surgery – Commercial and Individual Exchange …

(9 days ago) Webaddition to the above, fIn or staged bariatric surgery for BMI > 50, please include plan r suFo bsequent bariatric surgery, also provide the following, when applicable: o …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/bariatric-surgery.pdf

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MEDICAL POLICY - BARIATRIC SURGERY (GASTRIC SURGERY …

(6 days ago) WebJoint Medical Policies are a source for BCBSM and BCN medical policy information only. These documents are not to be used to determine benefits or reimbursement. Please …

https://www.bcbsm.com/amslibs/content/dam/public/mpr/mprsearch/pdf/76831.pdf

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Medical Policy Bariatric Surgery - Mass General Brigham …

(5 days ago) WebAmerican Society for Metabolic and Bariatric Surgery (ASMBS). ASMBS Endorsed Procedures and Approved Devices. March 2019. Aminian A, Chang J, Brethauer SA, …

https://resources.massgeneralbrighamhealthplan.org/medicalpolicy/BariatricSurgery.pdf

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Obesity Surgery - Medical Clinical Policy Bulletins Aetna

(6 days ago) WebPatients with severe obesity (BMI greater than or equal to 35) aged 19 to 79 years with diabetes who underwent bariatric surgery from 2005 to 2011 in 4 integrated health …

https://www.aetna.com/cpb/medical/data/100_199/0157.html

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Bariatric Services in New Jersey Hackensack Meridian Health

(3 days ago) WebBariatric Surgery for Weight Loss. Bariatric or weight loss surgery may be a good option if you’re more than 100 pounds overweight and have tried and failed to lose weight through …

https://www.hackensackmeridianhealth.org/en/services/bariatrics

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Affordable Michigan health insurance Priority Health

(9 days ago) WebAffordable, award-winning health insurance plans for Michigan individuals, families, employer groups, and Medicare and Medicaid members. Enroll today!

https://www.priorityhealth.com/?page=1&search=bariatric%20surgery

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Clinical Policy: Bariatric Surgery - PA Health & Wellness

(1 days ago) WebMaximum weight loss usually occurs between 18 and 24 months postoperatively. The average weight loss at five years ranges from 48 to 74% after …

https://www.pahealthwellness.com/content/dam/centene/Pennsylvania/policies/clinical-policies/V1_07.13.21_FINAL_PA.CP.MP.37%20Bariatric%20Surgery_REV_12.28.2020_GK%20Jr_CLEAN_4.28.2021.CJW.pdf

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Bariatric Surgery & Weight Loss Valley Health System

(7 days ago) Web201-251-3480. Pursuing weight loss is a very personal choice, which often comes after careful consideration. At The Valley Hospital's Center for Bariatric Surgery and Weight …

https://www.valleyhealth.com/services/bariatric-surgery-weight-loss

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Johns Hopkins Priority Partners Managed Care Organization …

(4 days ago) Webor if you need a referral before seeking certain health care, please call Customer Service at 800-654-9728. Resources This section lists helpful resources for Priority Partner’s …

https://www.ppmco.org/wp-content/uploads/2022/11/outpatient-guidelines.pdf

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Beyond weight loss: Bariatric surgery may reduce cancer risk

(5 days ago) WebOne group of about 5,000 patients had undergone bariatric surgery; the other group of just over 25,000 patients didn't have surgery. The median follow-up period was …

https://cancerblog.mayoclinic.org/2024/04/23/beyond-weight-loss-bariatric-surgery-may-reduce-cancer-risk/

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Bariatric Surgery - Englewood Health

(7 days ago) WebBariatric Surgery. If you are significantly overweight or obese and unable to keep weight off despite multiple attempts at diet and exercise, bariatric surgery may be an option. …

https://www.englewoodhealth.org/service/bariatric-surgery

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