Amerihealth Weight Loss Policy

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Changes to policy for obesity management

(6 days ago) WebChanges to policy for obesity management. Effective January 1, 2024, AmeriHealth HMO, Inc., AmeriHealth Insurance Company of New Jersey, and AmeriHealth Administrators will retire pharmacy policy #Rx.01.94: Weight Loss Agents and replace it …

https://provcomm.amerihealth.com/pnc-ah/news/Pages/Changes-to-policy-for-obesity-management.aspx

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Pharmacy Policy Bulletin - amerihealth.com

(Just Now) WebPolicy Bulletin Title: Weight Loss Agents Policy #: Rx.01.94 Application of pharmacy policy is determined by benefits and contracts. Benefits may vary based on product line, group, …

https://amerihealth.com/pdfs/providers/pharmacy_information/pharmacy_policies/weight_loss_agents.pdf

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AmeriHealth Medical Policies

(2 days ago) WebREQUIRED DOCUMENTATION. For individuals who meet the criteria for TPN, a total daily caloric intake of 20–35 kcal/kg/day is considered sufficient to achieve or maintain …

https://medpolicy.amerihealth.com/ah/Commercial/Pages/Policy/bbebc164-23ea-4492-9d4a-8546ad20d1ac.aspx

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Bariatric surgery for adults - AmeriHealth Caritas De

(6 days ago) WebAmeriHealth Caritas considers the use of bariatric surgery in adults to be clinically proven and, therefore, medically necessary when all of the following criteria are …

https://www.amerihealthcaritasde.com/assets/pdf/provider/resources/clinical/policies/ccp1090-1909-bariatric-surgery-adults.pdf

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AmeriHealth Medical Policies

(4 days ago) WebAmeriHealth makes decisions on coverage considering the Policy Bulletins, benefit plan documents, and the member's medical history and condition. Policy Bulletins are …

https://medpolicy.amerihealth.com/

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AmeriHealth Medical Policies

(2 days ago) WebDescription: ICD-10-CM codes. Title: Bariatric Surgery. COMMERCIAL AND MEDICARE. THE FOLLOWING CODES REPRESENT DIAGNOSES THAT SUPPORT …

https://medpolicy.amerihealth.com/ah/Commercial/Pages/Policy/778a747c-2dd7-41ec-a720-71eec3fa4351.aspx

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Bariatric Surgery

(8 days ago) WebAmeriHealth Caritas Louisiana 1 of 3 Bariatric Surgery Plan: AmeriHealth Caritas Louisiana Clinical Policy ID: CCP.4002 Recent review date: 3/2021 Next review …

https://www.amerihealthcaritasla.com/pdf/provider/resources/clinical/policies-20231107-3/ccp4002-bariatric-surgery.pdf

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Select Drug Program Formulary Guide - AmeriHealth

(Just Now) WebPlease note, coverage of certain drugs on the formulary (e.g., weight loss drugs) requires a benefit rider. Please contact the health insurance plan for member eligibility information …

https://www.amerihealth.com/pdfs/providers/pharmacy_information/select_drug/ah_select_drug_guide.pdf

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Abdominoplasty, panniculectomy, and brachioplasty

(9 days ago) WebAbdominoplasty, panniculectomy, and brachioplasty following massive weight loss are clinically proven and, therefore, medically necessary procedures when all …

https://www.amerihealthcaritasde.com/assets/pdf/provider/resources/clinical/policies-20200811/ccp1227-abdominoplasty-panniculectomy-brachioplasty.pdf

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AmeriHealth Weight Loss Surgery – How to Avoid a Denial

(7 days ago) WebContent Advertising. AmeriHealth covers 4 weight loss procedures, including the Gastric Sleeve, Gastric Bypass, and Duodenal Switch, assuming your policy includes bariatric …

https://www.bariatric-surgery-source.com/amerihealth-weight-loss-surgery.html

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Clinical Policy Title: Bariatric surgery for children and …

(3 days ago) WebABOUT THIS POLICY: AmeriHealth Caritas has developed clinical policies to assist with making coverage determinations. AmeriHealth Caritas’ clinical policies are based on …

https://www.amerihealthcaritasdc.com/pdf/provider/resources/clinical/policies/ccp1054-1909-bariatric-surgery-children-adolescents.pdf

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Clinical Policy Title: Nutritional support - AmeriHealth Caritas De

(8 days ago) WebMore and higher-quality (design and reporting) research is needed. Studies generally show that nutritional support improves body weight, protein intake, and caloric …

https://www.amerihealthcaritasde.com/global/assets/pdf/provider/clinical-policies/ccp1052-1908-nutritional-support.pdf

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Pharmacy Policy Bulletin - AmeriHealth

(4 days ago) WebPharmacy Policy Bulletin Title: Weight Loss Agents Policy #: Rx.01.94 Application of pharmacy policy is determined by benefits and contracts. Benefits may vary based on …

https://www.amerihealth.com/pdfs/providers/pharmacy_information/pharmacy_policies/weight-loss-agents.pdf

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Frequently asked questions - Weight Watchers

(8 days ago) WebYou can purchase this offering at https://wellness.weightwatchers.com with Employer ID:13429374 to receive a special price and subsidy. For assistance, call 866-204-2885 …

https://cmx.weightwatchers.com/assets-proxy/weight-watchers/image/upload/v1594406683/visitor-site/prod/us/amerihealth_faq_qrmuff

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AmeriHealth Medical Policies

(2 days ago) WebFor persons whose weight is 60 kg (132 lbs) or more, the recommended dose is 45 mg initially, 4 weeks later, followed by 45 mg every 12 weeks. For persons …

https://medpolicy.amerihealth.com/ah/Commercial/Pages/Policy/d2cb8ae2-b1c6-450a-9f8b-c82e89d2e0c8.aspx

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AmeriHealth Care Card Frequently Asked Questions

(9 days ago) WebMake sure to have your 19-digit AmeriHealth Care Card number available. Then enter your member and personal information (it must match the information listed on your …

https://www.amerihealth.com/pdfs/medicare/care-card-faq.pdf

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Body contouring surgery after massive weight loss

(8 days ago) WebClinical Policy Title: Body contouring surgery after massive weight loss. Clinical Policy Number: 18.03.03 . Effective Date: July 1, 2016 . Initial Review Date: April 27, 2016 . …

https://www.amerihealthcaritasla.com/pdf/provider/resources/clinical/policies/180303-body-contouring-surgery-after-massive-weight-loss.pdf

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Skin surgery after massive weight loss

(4 days ago) Webbariatric surgery, often result in massive weight loss . Definitions of massive weight loss vary, and include loss of . 100 pounds (approximately 45.45 k ilograms) or …

https://www.amerihealthcaritasnh.com/assets/pdf/provider/resources/clinical/policies-20230208/ccp1514-skin-surgery-after-massive-weight-loss.pdf

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