
Durable Medical EquipmentWheelchair Request Prior Authorization Form Providers AmeriHealth Caritas Pennsylvania Community Health
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People also ask
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Does PA Medicaid cover weight loss surgery?
PA Medicaid generally excludes coverage of bariatric surgery for morbid obesity, except when all other types of treatment have failed.
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Does AmeriHealth Caritas Pennsylvania cover weight loss surgery?
BENEFIT APPLICATION Subject to the terms and conditions of the applicable benefit contract, bariatric surgery is covered under the medical benefits of the Company's products when the medical necessity criteria listed in this medical policy are met.
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How do you get approved for weight loss surgery?
Who is a Candidate for Bariatric and Weight Loss Surgery Body weight greater than 100 pounds or 45 kg above ideal weight. Body Mass Index (BMI) greater than 40 or BMI greater than 35 with medical complications related to obesity, including high blood pressure, type 2 diabetes, sleep apnea and gallbladder disease.
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Is AmeriHealth Pennsylvania the same as AmeriHealth Caritas?
One big, healthy family We're part of the AmeriHealth family of companies, which includes commercial AmeriHealth business in Pennsylvania and New Jersey, and AmeriHealth Caritas (Medicaid and Medicare management). We have regional offices in Pennsylvania, New Jersey, and Minnesota.
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What insurance covers weight loss surgery?
Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. Our office staff will happily verify your insurance benefit.
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What is the payer ID for AmeriHealth PA medical assistance plan?
Electronic claims are submitted via the Change Healthcare AmeriHealth Caritas Pennsylvania Payer ID 22248.
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How long does it take for insurance to approve weight loss surgery?
Insurance approval: Once you've completed all required medical tests, we send necessary documentation to your insurance company for preauthorization. This approval process can take a few weeks to a few months, depending on your insurance company.
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What is the phone number for AmeriHealth Caritas PA 24 hour?
If you cannot find what you are looking for on our website, please take a look at our member handbook or call Member Services at 1-888-991-7200. Our representatives are there to help you 24 hours a day, 7 days a week.
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