Aetna Bariatric Surgery Medical Policy

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Obesity Surgery - Medical Clinical Policy Bulletins | Aetna

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

Consideration for bariatric surgery is generally warranted only when adolescents have experienced failure of 6 months of organized weight loss attempts and have met certain criteria: severe obesity (a BMI of 40) and severe co-morbidities, or super obesity …

Your guide to bariatric surgery - Aetna

https://www.aetna.com/docfind/cms/assets/pdf/Member_Guide_to_Bariatric_Surgery_Final.pdf

Tip: Aetna Clinical Policy Bulletins provide information on bariatric surgery coverage. Go to www.aetna.com. Then enter the search words “Obesity surgery.” You can take …

Medical Clinical Policy Bulletins - Aetna

https://www.aetna.com/health-care-professionals/clinical-policy-bulletins/medical-clinical-policy-bulletins.html

Aetna Clinical Policy Bulletins (CPBs) are developed to assist in administering plan benefits and do not constitute medical advice. Treating providers are solely …

Aetna - Requirements for Weight Loss …

https://www.obesitycoverage.com/aetna-requirements-for-weight-loss-surgery/

Multi-disciplinary surgical preparatory regimen: Proximate to the time of surgery (within 6 months prior to surgery), …

Aetna Insurance - National Bariatric Link

https://nationalbariatriclink.org/paying-for-bariatric-surgery/aetna-insurance/

What Does Aetna Require Before Approval Of Bariatric Surgery. If you have Aetna and want to be eligible for the weight loss surgery, you need to meet their criteria listed below: …

Upper Gastrointestinal Endoscopy and Gastrointestinal …

https://www.aetna.com/cpb/medical/data/700_799/0738.html

Aetna considers biopsy of the upper gastrointestinal tract medically necessary for the following indications: Gastroesophageal reflux disease (GERD), biopsies directed to …

IOQ Bariatric Surgery Facilities - Aetna

https://www.aetna.com/individuals-families/member-rights-resources/commitment-quality/institutes-of-quality/bariatric-surgery-facilities.html

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates …

Obesity Surgery Precertification Information Request …

https://www.aetna.com/document-library/pharmacy-insurance/healthcare-professional/documents/obesity-surgery-precert-form.pdf

Is this a repeat bariatric surgery? Yes No If yes, provide the reason for repeat surgery: Inadequate success (defined as loss of more than 50 % of excess body weight) 2 …

Clinical guidelines and policy bulletins - Aetna

https://www.aetnabetterhealth.com/clinical-guidelines-policy-bulletins.html

These include treatment protocols for specific conditions, as well as preventive health measures. These guidelines are intended to clarify standards and expectations. They …

Cosmetic Surgery and Procedures - Medical Clinical …

https://www.aetna.com/cpb/medical/data/1_99/0031.html

Aetna plans exclude coverage of cosmetic surgery and procedures that are not medically necessary, but generally provide coverage when the surgery or procedure is needed to …

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