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  Blue Distinction Centers For Bariatric Surgery
 
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Bariatric Surgery FAQs
 

Why we have Blue Distinction centers
The growing obesity epidemic is a serious health concern. Requests for Bariatric Surgery are on the rise throughout the country. While many surgeons and hospitals are willing to perform this procedure, their experience is varied.

The Blue Distinction Centers for Bariatric Surgery consists of identified hospitals that meet a broad range of criteria, focusing on experience and surgical outcomes. Use of such centers has typically improved health outcomes and financial performance by lowering complications. To learn more, see Blue Distinction Centers for Bariatric Surgery.

Types of Blue Distinction centers and who may use them
If you are a member of Blue Cross and Blue Shield of Texas (BCBSTX), you may take advantage of the Blue Distinction Centers for Bariatric Surgery.

If you are not a member of BCBSTX, the information on this website may not apply to you. Please contact your own health plan.

Member participation
Member participation is voluntary. BCBSTX members whose benefit plan includes coverage for bariatric surgery will be advised of the Blue Distinction Centers for Bariatric Surgery. However, depending upon the member's benefit design, they may be able to choose other contracted facilities without penalty. Members must complete a medical weight management program and satisfy all other criteria in the medical policy regarding Surgery for Morbid Obesity before bariatric surgery can be considered. When using a Blue Distinction Center for Bariatric Surgery, members should confirm that the surgeon is part of the contracting network by calling Customer Service. Members will not receive in-network benefits for the services of surgeons or other providers who are not in the contracted provider network of the member’s health plan.

The HMO program follows a different procedure than that described above. If you are an HMO member, consult with your Primary Care Physician regarding the most appropriate treatment for your condition.

Locate a Blue Distinction Center
Check the Blue Cross and Blue Shield Association's list of Blue Distinction Centers for Bariatric Surgery . Before making an appointment, call BCBSTX Customer Service to verify your plan coverage for services, and to confirm the provider's network participation status as a Blue Distinction Center.

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