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Does wellcare of ky cover weight loss surgery 2025

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The document outlines the Clinical Coverage Guideline for Bariatric Surgery (Policy Number: HS-006) by WellCare, detailing the criteria for medically necessary bariatric procedures for morbid obesity. It defines morbid obesity, specifies covered surgical procedures, and lists requirements such as BMI thresholds, participation in supervised nutrition and exercise programs, and mental health evaluations. The document also emphasizes that it serves as a guideline rather than treatment recommendations and is subject to individual benefit plans.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the designated fields, including your name, date of birth, and contact details. Ensure accuracy as this information is crucial for processing your request.
Next, navigate to the section regarding your medical history. Provide detailed information about your weight loss journey, including any previous attempts at weight management and relevant health conditions.
In the criteria section, indicate whether you meet the BMI requirements and list any co-morbidities such as diabetes or hypertension. This is essential for determining eligibility for coverage.
Finally, review all entries for completeness and accuracy before submitting. Utilize our platform’s features to save your progress or share with a healthcare provider for additional input.

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How long does it take for Medicaid to approve bariatric surgery?

So How Long Does Surgical Insurance Approval Take? Most patients can be pre-approved for bariatric surgery within a matter of 90 days/12 weeks (with consecutive office visits throughout) if there are no medical weight loss program requirements, but there is no guarantee.

How to get weight loss surgery for free?

Government aid for weight loss surgery costs The federal government can help cover the weight loss surgery cost for qualified patients under the Medicaid and Medicare programs. Both programs have eligibility restrictions, an application process, and a waiting period.

What weight loss medication is covered by Medicaid in Kentucky?

United Health Care (UHC) Optum Center of Excellence Network (COE) Blue Cross Blue Shield Bariatric Resource Service (BRS) Aetna Institute of Quality (IOQ) MBSAQIP Accredited Center.

Does Kentucky Medicaid pay for weight loss surgery?

- Bariatric Surgery will be covered only if it is medically necessary and prior authorized. Note: Services for the treatment of obesity (including gastroplasty and gastric stapling) are generally not covered by KY Medicaid.

Is Zepbound covered by Medicaid?

Insurance through Medicaid Zepbound is covered with Medi-Cal in California no prior authorization needed.

does wellcare pay for dentures

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What weight loss surgery is covered by Medicaid?

While Medicaid may cover weight-loss surgery, eligibility and coverage details vary by state. State Medicaid programs may cover gastric bypass, adjustable gastric banding, laparoscopic sleeve gastrectomy, and other weight-loss surgeries if the procedures are considered medically necessary.