Weight Loss Surgery Requirements Cigna
Weight loss by medical management.
Weight loss surgery requirements cigna. In a study comparing banding and gastric bypass banding had fewer surgical risks than gastric bypass. It also depends on how closely people follow their doctor s recommendations for lifestyle changes check up appointments and counseling. Cigna covers 4 weight loss procedures including the gastric sleeve gastric bypass and lap band assuming your policy includes bariatric surgery.
When you choose an in network surgical provider you will find lower out of pocket costs meaning that you will pay less in the end when it comes to this type of procedure. Most policies with cigna cover weight loss surgery. Inadequate weight loss is defined by less than 50 of excess weight loss or failure to achieve body weight within 30 of ideal body weight within two years following surgery.
This page explains the coverage requirements plan types and covered procedures as well as how to appeal a denial. Contact cigna directly to find out if your plan includes weight loss surgery coverage. Weight loss varies with the type of surgery.
The following applies to great west healthcare as well. Things to note regarding cigna and bariatric surgery coverage. Cigna does not require a coe designation at this time meaning you can have your surgery wherever your.
Cigna recently merged with great west healthcare. A description of the proposed procedure s a recommendation for bariatric surgery from a physician physician s assistant nurse practitioner.