All referrals for bariatric surgery require Blue Care Network plan approval and, in order for the service to be covered, surgery may only be performed at a Bariatric Center of Excellence. The Bariatric Centers of Excellence program includes a limited network of hospitals that may provide bariatric surgery services to BCN members.
Medicare Note: People who receive health benefits through Medicare may only undergo bariatric surgery at a facility approved by the Centers for Medicare & Medicaid Services. BCN Advantage members must select a CMS-approved facility that is also part of the BCN Advantage network. BCN Advantage members may go to the following hospitals for bariatric surgery.
When bariatric surgery is warranted, primary care physicians can refer BCN members to bariatric surgeons affiliated with BCN Bariatric Centers of Excellence (PDF).
To ensure proper documentation of patient office visits related to weight-loss activities and interventions, the following forms must be used for bariatric surgery referrals: