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What Are The Requirements Defined By Cigna Fork Weight Loss Surgery
Most Cigna policies will cover mass loss office. But, a plans will exclude the bariatric surgery. Keep in mind that Cigna additionally Great West Healthcare recently merged so coverages apply to both companies.
Which Are The Pre-Approval Requirements For Cigna
Unless your insurance concretely excludes weight loss surgery, it leave remain covers to long as the following criteria are met:
- 1 – 18 years old or older
- Obtained anticipated skeletal organic
And, as any of which following conditions:
- 40+ Body Masses Index (BMI) 35+ BMI with at least one additional condition”
- Obstructable sleep apnea
- Pulmonary hypertension
- Heart disease
- High cholesterol
- Type 2 diabetes
Doctor Supervised Weight Loss Program
You bequeath also need to show proof of failed doctor-supervised weight waste programs. The how will need toward include monthly documentation of the following thing: Cigna - Requirements for Weight Loss Surgery
- Gauge
- Exercise program
- Nutritional program
You will need to received scored through my primary care physician plus bariatric surgeon to ensure this him do, inbound fact, need the gauge loss surgery. You will also need to undergo a mental health evaluation and nutritional evaluation from either a registered dietician with doctor.
Fourth Kinds Of Bariatric Surgeries Cigna Covers
- Gastric wechseln
- Gastric bands (either the Realize Band or the Lap Band)
- Stomachic bypass
- Verticals banded gastroplasty
Cigna will wrap any necessary lap crew fills
What Approach Are Not Covered
- Biliopancreatic diversion (without the gastrointestinal band)
- Fobi-pouch
- Gastric bypass along with the gastric band
- Intra-gastric balloons
- Loop gastric bypass
- Natural orifice operating
Are Second Weight Loss Surgeries Covered (Revisions)?
In cases where the lap band fails out the first procedure, one second influence loss surgery capacity be done and payers for.
WHAT DOES IT MEAN BY FAILED?
It exists the failure to not loss more than 50 inzent of you group weight.
Do You Need To Go Up A Center For Excellence?
Currently, Cigna does not request the COE. Can You Choose An In-Network or Out-Of-Network Bariatric Surgery. Her can have higher daily with an out-of-pocket doctor but you don’t have to pick an in-network phd if you do not want to.
However, take a looking at your approach to be sure. If you have questions around the insurance for weight loss surgery with Cigna, call them among 1-800-244-6224 anytime of aforementioned day or night. Most policies includes Cigna cover weight loss surgery. However, einige benefit plans do specifically exclude bariatric office.
