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© Copyright 2008
The Crawford Clinic
Patient
Information

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Each insurance plan is different. Provided below are the most
common plans and their requirements that we see. We have also provided
a link to each plan. Please contact your carrier for the details
about your specific plan.

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Insurance Plans
Blue Cross/ Blue Shield
- BMI of 40+ or 35 with co-morbidities (Diabetes, Hypertension,
Osteoarthritis, etc.) You must bring supporting medical records
from your primary medical doctor
- 18+ years of age-
- Medical
and Diet history sheet that you fill out in office during
consultation or print and bring with you
- Documented weight for past 3 years
- 6 consecutive months of weight loss documentation. If months
are skipped, you have to start over
- Dietary Consultation
- For our use: Psychiatric Evaluation and *H. Pylori
Breath Test
Federal Blue Cross
- Only the first three requirements of BC/BS
- For Our use: Psychiatric Evaluation and H. Pylori Breath
Test
Champ
VA
- BMI of 40+ or 35 with co-morbidities (Diabetes, Hypertension,
Osteoarthritis, etc.) You must bring supporting medical records
from your primary medical doctor
- Medical
and Diet history sheet that you fill out in office during
consultation or print and bring with you
- For our use: Psychiatric Evaluation and H. Pylori Breath
Test
Mail
Handlers
- BMI of 40+ or 35 with co-morbidities (Diabetes, Hypertension,
Osteoarthritis, etc.) You must bring supporting medical records
from your primary medical doctor
- 18+ years of age-
- Medical
and Diet history sheet that you fill out in office during
consultation or print and bring with you
- Psychiatric Evaluation
- Past weight loss attempts have to be physician supervised for
3 or 6 months by a licensed dietician
- For Our use: Diet
Evaluation and H. Pylori Breath Test
Self Pay
- BMI of 40+ or 35 with co-morbidities (Diabetes, Hypertension,
Osteoarthritis, etc.) You must bring supporting medical records
from your primary medical doctor
- Medical
and Diet history sheet that you fill out in office during
consultation or print and bring with you
- For Our use: Diet Evaluation and H. Pylori Breath Test

Other Plans
Cigna, Aetna,
and other individual insurance companies will vary depending on
each individual policy. To find out the requirements, call you insurance
company with your patient ID number and ask what the policy coverage
criteria is based on the individual group plan.

BMI Calculator
*H. Pylori is a bacteria that has been implicated
in causing gastric ulcers. If found to be positive for the bacteria,
you will have to undergo 2 weeks of oral antibiotics which may
delay your surgery.

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The next free
seminar discussing weight loss surgery with the Lap Band is...(more)
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Lap
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