Cinga Members??
C
IGNA MEDICAL COVERAGE POLICYThe following Coverage Policy applies to all plans administered by CIGNA Companies including plans
administered by Great-West HealthCare, which is now a part of CIGNA.
Subject
Bariatric SurgeryEffective Date ............................9/15/2008
Next Review Date……………….5/15/2009
Coverage Policy Number .................0051
Table of Contents
Coverage Policy ..................................................1
General Background ...........................................3
Coding/Billing Information .................................22
References ........................................................24
Policy History.....................................................35
Hyperlink to Related Coverage Policies
Abdominoplasty and Panniculectomy
Gastric Pacing/Gastric Electrical
Stimulation (GES)
Nutritional Counseling
Obstructive Sleep Apnea Diagnosis and
Treatment Services
INSTRUCTIONS FOR USE
Coverage Policies are intended to provide guidance in interpreting certain
plans formerly administered by Great-West
Service Agreement (GSA), Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may
differ significantly from the standard benefit plans upon which these Coverage Policies are based. For example, a participant’s benefit plan
document may contain a specific exclusion related to a topic addressed in a Coverage Policy. In the event of a conflict, a participant’s
benefit plan document
coverage mandate, benefits are ultimately determined by the terms of the applicable benefit plan document. Coverage determinations in
each specific instance require consideration of 1) the terms of the applicable group benefit plan document in effect on the date of service; 2)
any applicable laws/regulations; 3) any relevant collateral source materials including Coverage Policies and; 4) the specific facts of the
particular situation. Coverage Policies relate exclusively to the administration of health benefit plans. Coverage Policies are not
recommendations for treatment and should never be used as treatment guidelines. Proprietary information of CIGNA. Copyright ©2008
standard CIGNA HealthCare benefit plans as well as benefitHealthCare. Please note, the terms of a participant’s particular benefit plan document [Groupalways supercedes the information in the Coverage Policies. In the absence of a controlling federal or state
**** I AM AN OH SUPPORT GROUP LEADER ****
WHY I CHOSE DS: No dumping. Highest percentage of weight loss, Best long term results, Won't regain weight! Eat normal sized meals, 96% diabeties, 90% high blood pressure, 80% sleep apnea cured. I 
MY DS!
My doctor told me to stop having intimate dinners for four unless there were three other people. ~Orson Wells
I work very closely with insurance in a bariatric program. Usually what that means it they will review to add or delete something. For instance, if they do not cover the Sleeve, that might be something they decide to add at that point. Usually the policy itself does not change as far as guidelines (6 month diet, etc), but they can do anything they want at that point. Something small or something big.
I've lost over 400 pounds!
I love helping others, if you have a question just ask! 
Click on a link to read more about my journey:
My website My reconstructive photos
