Quick Answer: Does BCBS of SC cover weight loss surgery?

Blue Cross Blue Shield, the only Obamacare insurer in South Carolina, does not cover bariatric surgery for the more than 200,000 enrollees in that state. The state also doesn’t cover the procedure for state employees and their spouses and children, another half a million people.

Does SC Peba cover weight loss surgery?

The South Carolina Public Employee Benefit Authority (PEBA) runs the State Health Plan. … “Bariatric surgery is not a covered benefit of the State Health Plan.

What insurance covers bariatric surgery in South Carolina?


  • Aetna Bariatric IOQ network.
  • OptumHealth Care Solutions (formerly United Resource Networks)
  • Blue Distinction Centers for Bariatric Surgery Program (Blue Cross Blue Shield Association)

How can I get my insurance to pay for weight loss surgery?

Getting Your Insurance to Pay for Weight Loss Surgery

Most major insurance companies will require: Proof that surgery or medical intervention is medically necessary. Your surgeon can help provide your medical history and documentation of your weight-related health problems.

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What weight loss procedures are covered by insurance?

Today most insurance companies that cover weight loss surgery will cover gastric bands, laparoscopic gastric bypass, and gastric sleeve surgery.

Does Medicaid pay for weight loss surgery in South Carolina?

Assuming that you meet the criteria below and that you don’t have any medical issues preventing you from surgery, Medicaid will cover weight loss surgery.

What kind of weight loss surgeries are there?

There are currently three primary weight loss (or bariatric) surgeries being performed across the United States. They are Roux-en-Y gastric bypass, adjustable gastric banding and sleeve gastrectomy. All of these surgeries have pros and cons to them, and none of them are a quick, simple fix for losing weight.

Will Obamacare pay for weight loss surgery?

Obamacare Insurance Won’t Cover Weight-Loss Surgery In Many States.

Does MS Medicaid pay for weight loss surgery?

Medicaid enrolled health-care providers should be advised that Mississippi Medicaid does not currently cover bariatric surgery.

Which states mandate coverage for bariatric surgery?

All states but Colorado, District of Columbia, Florida, Idaho, Louisiana, Nebraska, Tennessee, Utah, and Washington cover all or some forms of bariatric surgery. Nutritional counseling and therapy is now a required health benefit in 16 states.

What’s the minimum weight for gastric bypass?

To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40).

How much does gastric sleeve cost out of pocket?

Although prices have dropped over the years, patients deciding to have their gastric sleeve surgery performed in California can expect an average price of $14,900. The price can vary depending on the type of facility, the experience of the surgeon, the general health of the patient, and the chosen payment method.

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Which weight loss surgery is best?

What is the safest form of bariatric surgery?

  • Gastric Banding. This the simplest and safest procedure of the bariatric surgeries. …
  • Sleeve Gastrectomy. This is a relatively safe and simple surgery for morbidly obese people who have other health complications. …
  • Gastric Bypass. …
  • Duodenal Switch.


What is the least invasive weight loss surgery?

“Endoscopic weight loss procedures are a great option between medication and surgery,” says Kumbhari. “They work better than medication, but are less invasive than surgery and carry fewer side effects and risks.”

What pills help you lose weight?

Four weight-loss drugs have been approved by the U.S. Food and Drug Administration for long-term use:

  • Bupropion-naltrexone (Contrave)
  • Liraglutide (Saxenda)
  • Orlistat (Xenical)
  • Phentermine-topiramate (Qsymia)


What’s the cheapest weight loss surgery?

Costs for bariatric procedures in the U.S. are prohibitive for many patients. The average price for LAP-BAND® (generally the least expensive bariatric procedure) is $15,000. This surgery can run as high as $30,000, depending on where you live.

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