Quantum Health Bariatric Surgery Policy

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Obesity Surgery - Medical Clinical Policy Bulletins Aetna

(6 days ago) WEBPatients with severe obesity (BMI greater than or equal to 35) aged 19 to 79 years with diabetes who underwent bariatric surgery from 2005 to 2011 in 4 integrated health …

https://www.aetna.com/cpb/medical/data/100_199/0157.html

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Policies & Guidelines - Explore My Plan

(4 days ago) WEBRecommendation. GOE. BEL. Persons with a BMI >35 kg/m 2 and 1 or more severe obesity-related complications remediable by weight loss, including T2D, high risk for …

https://al-policies.exploremyplan.com/portal/web/medical-policies/-/mp-053

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Bariatric Resource Services

(3 days ago) WEBBariatric Resource Services is here to help guide you through your weight-loss journey as you explore options — from diet, exercise and lifestyle changes to surgery. You’ll …

https://myuhc.phs.com/content/phs-new/en/phs/brs.html

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CG-SURG-83 Bariatric Surgery and Other Treatments for Clinically …

(2 days ago) WEBThe weighted mean BMI of the bariatric surgery group was 45.7 (41.2 to 52.8) compared to 36.0 (32.9 to 39.9) in the nonsurgical control group (of note, the mean …

https://provider.simplyhealthcareplans.com/dam/medpolicies/simply/active/guidelines/gl_pw_d085821.html

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Care Coordinators by Quantum Health

(3 days ago) WEBWe're Here to Make Patient Care Simpler. Welcome to the Quantum Health provider resource portal, where you can submit and view authorizations, access patient benefits, …

https://www.ccbyqh.com/

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Medical Policy Bariatric Surgery - Mass General Brigham …

(5 days ago) WEBAmerican Society for Metabolic and Bariatric Surgery (ASMBS). ASMBS Endorsed Procedures and Approved Devices. March 2019. Aminian A, Chang J, Brethauer SA, …

https://resources.massgeneralbrighamhealthplan.org/medicalpolicy/BariatricSurgery.pdf

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Medical Policy & Procedure - Health Alliance

(7 days ago) WEBMedical Policy & Procedure Policy Name: Medical Policy: Bariatric Surgery for Severe Obesity Policy #: MP-36 Policy Information Owner Department: Medical UM & Systems …

https://www.healthalliance.org/MedicalPolicy/GetPolicy/38

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Your guide to bariatric surgery - myplanportal.com

(4 days ago) WEBhealth insurance or health benefits plan covers bariatric surgery. If you have coverage, check if you meet Aetna’s clinical criteria for bariatric surgery by reviewing the clinical …

http://www.myplanportal.com/docfind/cms/assets/pdf/Member_Guide_to_Bariatric_Surgery_Final.pdf

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Obesity: Treatment of Obesity, Non- Surgicaland Surgical …

(8 days ago) WEBAfter checking the Bariatric Surgical Management of Morbid Obesity table and searching the Medicare Coverage Database, if no state LCD/LCA is found, then use the above …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/obesity-treatment-obesity-nonsurgical-surgical-bariatric-surgery.pdf

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Weight loss surgery - HealthPartners

(2 days ago) WEBPrior authorization is required for weight loss (bariatric) surgery in members less than 18 years of age. All requests for coverage in members less than 18 years of age will be …

https://www.healthpartners.com/ucm/groups/public/@hp/@public/@cc/documents/documents/aentry_046184.pdf

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Bariatric Surgery Guidelines and Recommendations

(7 days ago) WEBScientific Statement from American Heart Association (AHA) March 2011: “Bariatric surgery can result in long-term weight loss and significant reductions in cardiac and …

https://asmbs.org/resources/bariatric-surgery-guidelines-and-recommendations/

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Clinical Policy: Bariatric Surgery - Superior HealthPlan

(5 days ago) WEBBariatric Surgery. 2. Age < 18 years, LSG or laparoscopic RYGB is requested, and one of the following (a or b): BMI ≥ 40 kg/m2 or 140% of the 95th percentile (whichever is …

https://www.superiorhealthplan.com/content/dam/centene/Superior/policies/clinical-policies/CP.MP.37%20Bariatric%20Surgery.pdf

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SelectHealth Policy Updates

(4 days ago) WEBMedical Policy: Bariatric Surgery Guidelines (295), beginning on page 6 of the linked General Surgery booklet 10/07/21 • Modified accreditation requirements for facilities/ …

https://files.selecthealth.cloud/api/public/content/219656-PolicyBulletin11-2021.pdf

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LA.CLI.038 Bariatric Surgery - Humana

(1 days ago) WEBThis policy applies to all Humana Healthy Horizons ® in Louisiana (Plan) associates who administer, review, or communicate covered physical and behavioral health benefits …

https://docushare-web.apps.external.pioneer.humana.com/Marketing/docushare-app?file=5115383

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Bariatric Surgery - CAM 70147 - South Carolina Blues

(3 days ago) WEBA 1991 National Institutes of Health Consensus Conference defined surgical candid ates as “those patients with a BMI of greater than 40 kg/m 2, Policy Guidelines: Bariatric …

https://www.southcarolinablues.com/web/public/brands/medicalpolicy/external-policies/bariatric-surgery/

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Clinical Policy: Bariatric Surgery - Centene Corporation

(3 days ago) WEBPolicy/Criteria. I. It is the policy of health plans affiliated with Centene Corporation® that bariatric surgery is medically necessary when the following criteria under section A, B, …

https://www.centene.com/content/dam/centene/policies/clinical-policies/CP.MP.37.pdf

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How to Prepare for an Upcoming Surgery - Meritain Health

(4 days ago) WEBPreventive procedures, also called prophylactic, are intended to prevent something from happening, rather than fixing something that’s already happened. One …

https://www.meritain.com/how-to-prepare-for-an-upcoming-surgery/

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Clinical Policy: Bariatric Surgery - PA Health & Wellness

(2 days ago) WEBMaximum weight loss usually occurs between 18 and 24 months postoperatively. The average weight loss at five years ranges from 48 to 74% after …

https://www.pahealthwellness.com/content/dam/centene/Pennsylvania/policies/clinical-policies/V2_3.16.2022_FINAL_PA.CP.MP.37%20Bariatric%20Surgery_REV_12.13.2021_GK%20Jr.pdf

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FEP Medical Policy Manual - FEP Blue

(2 days ago) WEBtechniques used, and in institutions that support a comprehensive bariatric surgery program, including long-term monitoring and follow-up postsurgery. The following …

https://www.fepblue.org/-/media/PDFs/Medical%20Policies/2024/January/Medical%20Policies%20Dec%202023/New%20Add/70147%20Bariatric%20Surgery.pdf

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Clinical Policy: Bariatric Surgery - Health Net

(6 days ago) WEBMaximum weight loss usually occurs between 18 and 24 months postoperatively. The average weight loss at five years ranges from 48 to 74% after …

https://www.healthnet.com/static/general/unprotected/pdfs/national/policies/BariatricSurgery.pdf

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Bariatric Surgery Malnutrition Complications

(5 days ago) WEBBariatric surgery is an effective treatment that produces significant and sustained improvement in metabolic disorders and comorbidities associated with obesity.[1] However, bariatric surgery is …

https://www.ncbi.nlm.nih.gov/books/NBK592383/

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Bariatric Surgery: An Opportunity to Improve Quality of Life and

(1 days ago) WEBBariatric surgery therapy (BST) is an effective treatment for obesity; however, little is known about its impacts on health-related quality of life (HRQoL) and …

https://www.mdpi.com/2072-6643/16/10/1466

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