Thursday, February 18, 2010

Bariatric Surgery Insurance Denials

Quarter of bariatric surgery candidates denied insurance coverage before getting approval.
The Dallas Morning News (2/18, Roberson) reports, "A quarter of patients considering bariatric surgery are denied insurance coverage three times before getting approval, and about 60 percent report their health worsened during this waiting period, according to an online Harris Interactive survey conducted in May 2008 of 280 surgeons and 400 weight-loss surgery patients." Requiring "a body mass index of 40 or more," Blue Cross Blue Shield of Texas, "the state's largest health insurer," will approve "a surgery with a BMI of 35 as long as the patient has two of the following: hypertension, diabetes, coronary heart disease, sleep apnea, osteoarthritis, or dyslipidemia."

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