ANTHEM BLUE CROSS BLUE SHIELD GASTRIC BAND SURGERY COVERAGE
You may automatically qualify for full Gastric Band coverage under Blue Cross Blue Shield if you:
- Are 100+ pounds over your ideal weight
- Have a BMI of 40+
- Have a BMI of 35+ with obesity-related medical problems such as type 2 diabetes, hypertension, cardiovascular disease, mechanical arthropathy, lower extremity lymphatic, sleep apnea, or coronary artery disease
- Have been overweight more that two years and have failed diet / exercise or other weight-loss programs
If you meet your insurance plan’s criteria for bariatric coverage, Blue Cross Blue Shield will most likely cover your gastric band surgery. We offer free insurance verification as a quick, easy way to find out if you will be covered for gastric band surgery. If you do not automatically qualify for coverage, one of our helpful staff members will assist you in identifying your best options.
Blue Cross Blue Shield’s coverage depends on the insurance plan of each individual, as well as each patient’s ability to meet the criteria for bariatric coverage. BCBS has thirty nine locally operated companies, so each plan may vary. Most of the time, Blue Cross Blue Shield will cover your gastric band surgery should you meet your plan’s requirements, such as having a Body Mass Index (BMI) of 35 or greater. In some cases, you may be required to undergo a nutritional evaluation, which involves a supervised 6-12 month nonsurgical weight-loss regime.
If Your BMI is below 40, Blue Cross Shield will also evaluate your weight-related medical conditions prior to granting authorization for gastric band surgery.
To find out if your individual Aetna Plan covers the Gastric Band surgery, call us at ((800) LOOK-GREAT (800-566-5473) and one of our helpful staff members will contact you within a couple of hours with your list of benefits.