does medicaid cover weight loss surgery in nc

Medicare and Medicaid Bariatric surgery is. This Medical Policy only applies to the state of North Carolina.

Does Insurance Cover Weight Loss Surgery 8 Key Questions Answered

Medicaid may cover weight loss surgery in some states.

. Although Medicare does not offer weight loss surgery coverage exclusively meant for aesthetic improvement the program will cover the cost of weight loss surgery only if the patient has. DRAFT 19J28 45 Day Public Comment i. First Medi-Cal does cover weight loss surgery.

Medicaid can cover several things related to weight loss but may depend on your health situation and states Medicaid. The NC Medicaid Enrollment Broker provides services to help NC Medicaid beneficiaries learn about their NC Medicaid health care options find information about health care options and. Medicaid coverage for weight loss surgery is decided on a state-by-state basis meaning some states cover it and others do not.

Additionally the common procedures covered are. 1A-15 Severe or Morbid Obesity Amended Date. The information in this article is current as of February 16 2022.

Depending on the location type of surgery and the patient the cost for bariatric surgery can range between 15000 to 30000. Medicare covers weight loss surgery if you meet certain criteria such as having a BMI greater than 35. Medicare only covers certain types of weight loss procedures.

Blue Cross Blue Shield North Carolina does cover weight loss surgery but your specific policy must include it in order for you get it covered. Summary Weight Loss Surgery Covered By Medi. Weight loss following bariatric surgical procedures can result in skin and fat folds in locations such as the medial upper arms lower abdominal area and medial thighs.

Medicare covers some bariatric surgical procedures like gastric bypass surgery and laparoscopic banding surgery when you meet certain conditions related to morbid obesity. 1A-15 Severe or Morbid Obesity Amended Date. The amount of cover a private insurance company provides for weight-loss surgery typically ranges between 1700-5300 after the Medicare rebate.

For example Medicaid is more likely to pay for Lap-Band surgery Laparoscopic Adjustable Gastric Banding because this weight loss procedure typically costs. The services may be available. Medicaids requirements for bariatric procedures or weight loss surgery coverage are a bit different when compared to other insurance providers in the US.

In most cases individuals covered by Medicaid services may be eligible to have some forms of bariatric surgery covered but the catch is that the surgery needs to be deemed medically. March 15 2019 19B22 i. Bariatric Surgery is considered medically necessary in certain circumstances.

Medicaid coverage can vary a lot by state but weight loss surgery may be covered by many state Medicaid programs. These services help with housing safety food and transportation. The Healthy Opportunities program covers certain nonmedical aids for high-risk members.

Heres the bottom line. NC Medicaid Medicaid and Health Choice Surgery for Clinically Clinical Coverage Policy No. Medicaids requirements for weight loss surgery are.

As of a July 2008 revision. NC Medicaid Medicaid and Health Choice Surgery for Clinically Clinical Coverage Policy No. The North Carolina Department of Health and Human Services NCDHHS oversees the states Medicaid program and what medical services it pays for.

In most cases Medicaid covers weight loss surgery.

Bariatric Surgery Coverage Requirements Listed By Insurance Company