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Will BCBSNC cover bariatric surgery if performed at a facility other than a Center of Excellence?

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Will BCBSNC cover bariatric surgery if performed at a facility other than a Center of Excellence?

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To earn the BCBSNC Bariatric Surgery Center of Excellence designation, facilities must be fully accredited and certified and provide surgery for morbid obesity based on BCBSNC clinical guidelines for bariatric surgery. These guidelines have been endorsed by the BCBSNC Bariatric Physician Advisory Panel and are based on guidelines from the National Institute of Health and the American Society of Bariatric Surgery. Key components of the guidelines include: • A thorough and comprehensive assessment by the physician of the patient’s readiness for surgery and ability to follow through with required lifestyle changes • Significant experience in performing the surgery with quality outcomes • The facility’s ability to manage bariatric patients • Comprehensive and long-term post surgery follow-up • Willingness to report surgical results, weight loss and medical outcomes • Willingness to participate in BCBSNC peer review and quality improvement programs • The facilities must have a proven track

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