Bianca_Moore8851

Thanks!

Bianca

Looking for the best bariatric surgeons in Miami Florida that do gastric sleeve? I'm considering to pay it myself?

Bianca

Hi Bianca,
There are some Florida Blue policies which do cover surgery (including the sleeve) and many which do not. So the big question is what certificate do you have? You can look it up on their portal as a Member but at least I can give you the link to their Medical Policy:
Subject: Bariatric Surgery - Effective 12-15-2018
Here is their general criteria:
Selection criteria (Adults)
*Severely obese with a BMI ≥ 40 kg/m2, OR
*Severely obese with a BMI ≥ 35 kg/m2, with at least one comorbidity refractory to medical management (e.g., type 2 diabetes, hypertension, coronary artery disease, obstructive sleep apnea, GERD, osteoarthritis, pseudotumor cerebri), AND
 Does not have a medically treatable cause for obesity (e.g., thyroid or other endocrine disorder), AND  Has made multiple attempts at non-surgical weight loss (e.g., diet, exercise, medications), AND  Has received psychological or psychiatric evaluation with counseling as needed, prior to surgical intervention.
Good luck! Hope this helps. Happy New Year!

I have Florida Blue BCBS *** I wonder do it covered the gastric sleeve surgery and I have sleep apnea and high blood pressure?

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