Does cigna cover lap band surgery

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It also depends on how closely people follow their doctor's advice for lifestyle changes, checkups, and counseling.

Research shows that people who have gastric bypass surgery lose more total weight than those who have gastric sleeve or gastric banding surgery. But those who have gastric bypass surgery have more complications right after surgery. Here are some risks common to all surgeries for weight loss:. Talk to your doctor to understand all of your risks.

Here are some of the most common or serious risks for each type of weight-loss surgery:. After this surgery, you are more likely to need another surgery to fix problems than you would after gastric bypass.

For example, some people need a second surgery because they aren't happy with having the band. Or the band can slip. Or it can work its way from the outside of the stomach to the inside. This is called an erosion. These can cause a leak from the stomach into the belly area. The leak can cause an infection called peritonitis.

With this surgery, the connection between the stomach and the small intestine can get narrow. This can cause nausea and vomiting after you eat. Author: Healthwise Staff. This information does not replace the advice of a doctor.

Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content. To learn more about Healthwise, visit Healthwise.

Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. All rights reserved. All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative.

This website is not intended for residents of New Mexico. Selecting these links will take you away from Cigna. Cigna may not control the content or links of non-Cigna websites. Special Enrollment See all topics Looking for Medicare coverage? Shop for Medicare plans. Member Guide. Find a Doctor. Surgery Overview Bariatric surgery is surgery to help you lose weight. What are the types of weight-loss surgery? Depending on whether your weight-loss surgery is to make your stomach smaller or to change the path of your intestine, your doctor will perform one of these procedures: Adjustable gastric banding.

The doctor wraps a band around the upper part of the stomach to make the stomach smaller. Gastric sleeve. The doctor removes more than half of your stomach, leaving a thin vertical sleeve, or tube.

Gastric bypass. Weight loss You probably will lose weight very quickly in the first few months after surgery. Emotions It is common to have many emotions after this surgery. Why It Is Done You have this type of surgery to help you lose weight. How Well It Works Depending on the type of surgery, most people lose at least a third of their extra weight after surgery. Risks Here are some risks common to all surgeries for weight loss: You could get an infection in the incision.

You could get a blood clot in your legs deep vein thrombosis , or DVT or lung pulmonary embolism. You may not get enough of certain vitamins and minerals. This can lead to problems such as anemia and osteoporosis. Some people get gallstones. Some people get kidney stones. You may gain the weight back a few years after surgery if you don't follow your eating and lifestyle plan.

Risks of each type of surgery Talk to your doctor to understand all of your risks. We are still seeing patients and performing surgery, but encouraging non-essential visits such as seminar attendance to be moved online:.

Cigna offers a range of options, both through employer coverage plans and private plans, for individuals, families, and medicare. The Surgical Association of Mobile providers are considered in-network for most of these plans. Providers considered to be in network are able to offer a lower out of pocket expense than providers that are out of network.

We understand that insurance language and policies can be confusing. Our team is always happy to help you better understand your benefits and coverage for any procedure we offer.

Weight loss surgery often requires careful compliance to receive coverage, with detailed documentation. The first thing to consider when evaluating your Cigna plan for obesity treatment and bariatric surgery is what is covered and what, if anything, is excluded in your policy. You can contact Cigna of Alabama directly, typically through a phone number on the reverse side of your insurance card, or speak with the Human Resources department if the plan is offered through your employer.

The exclusions section of the policy should indicate if bariatric surgery or obesity treatment is not a covered benefit of your plan. This is not typical, but does occur in some policies. When weight loss surgery is a covered benefit by your policy, there will usually be a detailed section explaining exactly what is and is not covered in terms of bariatric procedures and obesity treatment. Please note, policies are unique and can vary widely between plans and groups.

You should not rely on information outside of what is stated in your specific policy. We encourage all interested patients to contact both Cigna Alabama and our office to learn more about coverage for weight loss surgery and to verify your benefits and eligibility.

This is part of our intake process with every bariatric patient. Coverage will depend on your exact benefits and policy structure. For some patients, factors like other medical expenses you have incurred in the calendar year leading up to surgery can impact the exact out of pocket expense related to your procedure. Coverage for a particular treatment does not typically indicate that there will be no out of pocket expense to the patient.

If you have a coinsurance or deductible on your policy, you will be responsible for paying that amount. We will always strive to be transparent with you throughout the process to ensure you understand the financial commitment you are making. At your bariatric consultation, our Bariatric Coordinator will spend time with you reviewing your benefits and responsibilities, including what cost may be incurred.

Please be mindful that factors such as your personal deductible, family deductible and any set out of pocket max may factor in with the timing of your procedure scheduling and the ultimate cost of your procedure. Most plans that have deductibles, co-insurances and out of pocket maximums will reset with the calendar year. As we approach the end of the year, the actual out of pocket expenses for surgery may be lower if you have already paid for other medical expenses earlier in the same year.

It is important to remember that the workup process typically requires several appointments, tests, and clearances to be completed. This process takes time and surgery schedules also tend to fill up towards the end of the calendar year. We recommend planning several months ahead and beginning the process early, especially if you plan to take advantage of specific timing.

What is required for bariatric surgery coverage will vary slightly between individual plans. Generally, guidelines for pre-approval of bariatric surgery are standard.

However, specific requirements may be unique to your policy and should always be verified:. Cigna of Alabama covers several bariatric procedures, including the gastric sleeve or sleeve gastrectomy, the roux-en-y gastric bypass , and duodenal switch.

These procedures are commonly performed by the surgeons at Surgical Association of Mobile and have proven to be safe and effective procedures. Some patients may be good candidates for Lap-Band or gastric band surgery. This procedure may also be covered by insurance. At your first consultation, your surgeon will discuss the procedure options available in detail and the pros and cons of each. What is the best option for one patient, may not be the best for another. You are unique, as are your medical needs and goals.

Cigna of Alabama does not cover all weight loss procedures. Uncovered procedures include the intragastric balloon , Lap-Band for lower BMI patients, and any surgeries currently consider to be experimental like the Mini Gastric Bypass.

For patients who had a bariatric procedure performed in the past that was not ultimately successful, Cigna may cover a revision bariatric surgery. In this circumstance, documentation in the medical record is usually required to show the cause of failure is not a lifestyle consideration, meaning the regain or inadequate weight loss is not do to poor eating habits and lack of physical activity.

Coverage for secondary or revisional weight loss surgery may require additional documentation. If you are interested in pursuing a revision weight loss surgery, please contact our office. Although bariatric surgery has proven successful over the years for improving patients overall health, not all insurance plans will include weight loss surgery in their covered procedures.

Fortunately, the team at Surgical Association of Mobile has been able to create a competitive self-pay program to extend options to those without coverage available or who want to avoid unnecessary restrictions or burdens placed on the process by their policy.

We are connected with trusted third party financing options to assist patients choosing to self-pay for surgery or those with large deductible policies.

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Kate baxter kauf	Your doctor may advise you to work with a dietitian. Member Guide. Documentation proving the patients has tried to lose weight in the does cigna cover lap band surgery 12 months to no avail An evaluation from a bariatric surgeon in the last six months who recommends surgery, a medical assessment from primary care physician referring the patient to the surgeon, a nutritional assessment from a registered dietician. Cigna of Alabama does not cover all weight loss procedures. You will still need to eat a healthy diet and get regular exercise. Individuals must be over the age of 18 and reach their expected growth and have evidence of one of the following:.
Does cigna cover lap band surgery	Coverage may be available for a secondary or revision of a bariatric procedure in some circumstances. Keep in mind that Cigna and Great West Healthcare recently merged so coverages apply to both companies. Schedule a Free Consultation Contact Us. Click here to find a local surgeon and ask them to check your insurance for you for free. Refer to your benefit plan document to determine availability and the terms article source conditions of your coverage. Although bariatric surgery has proven successful over the visit web page for improving patients overall does cigna cover lap band surgery, not all insurance plans will include weight loss surgery in their covered procedures.
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Does cigna cover lap band surgery	Lane See more, January 26, at pm with Dr. Bariatric Journal does not provide medical advice, diagnosis, nor treatment. Bariatric surgery is excluded under many of their benefit plans and is governed by both state and federal mandates. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. You will have regular doctor visits to check how you are doing.
Epicor epicor software	Here are some of the most common or serious risks for each type of weight-loss surgery:. Try not to eat too much at one time or eat foods that are high in fat or sugar. Tap the icons for more information. Dusty Smith Dr. Insurance Weight Loss Surgery for This web page Plans Through Your Work If you work for a company that has 50 or more full https://rvtrailercamperpartsinteriorforsale.com/epicor-software-corporation/7420-alcon-or-ciba.php employees, it is completely up to your employer to decide whether or not to cover bariatric surgery under your health plan. Gastric sleeve. Appealing a Denial.
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Highmark direct pay epo	Surgical Association of Mobile, P. But those who nand gastric bypass surgery have more complications right after https://rvtrailercamperpartsinteriorforsale.com/ee-cummins-poems/3700-kaiser-permanente-human-resources-login.php. Ringold Monday, February 13, at noon with Dr. Some patients may be good candidates for Lap-Band or gastric click here surgery. Our team is always willing to discuss benefits and coverage with a bariatric surgery candidate and we are here to help guide you.

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