Superior Health Plan Bmi Requirements

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Clinical Policy: Bariatric Surgery - Superior HealthPlan

(5 days ago) WEBBariatric Surgery. 2. Age < 18 years, LSG or laparoscopic RYGB is requested, and one of the following (a or b): BMI ≥ 40 kg/m2 or 140% of the 95th percentile (whichever is lower); BMI ≥ 35 kg/m2 or 120% of the 95th percentile with ≥ 1 severe comorbidity listed below …

https://www.superiorhealthplan.com/content/dam/centene/Superior/policies/clinical-policies/CP.MP.37%20Bariatric%20Surgery.pdf

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Effective September 26, 2022: Clinical Policies - Superior HealthPlan

(5 days ago) WEBAs a result, the following policies are effective on September 26, 2022, at 12:00AM. Changes in these policies reflect preauthorization requirement amendments …

https://www.superiorhealthplan.com/newsroom/effective-09262022-clinical-policies.html

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Effective October 1 2021 Clinical Policies - Ambetter from Superior

(Just Now) WEBEffective October 1, 2021: Clinical Policies. Date: 07/29/21. Superior HealthPlan has updated or retired certain clinical policies to ensure medical necessity …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/effective-october-1-2021-clinical-policies.html

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Clinical Policy: Phentermine (Adipex-P, Lomaira) - Superior …

(3 days ago) WEBBMI ≥ 27 kg/m2 with at least one indicator of increased cardiovascular risk (e.g., coronary artery/heart disease, hypertension, dyslipidemia, diabetes, elevated waist as well as …

https://www.superiorhealthplan.com/content/dam/centene/Superior/policies/pharmacy-policies/CP.PCH.13-06012021.pdf

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New Guidelines Broaden Patients’ Eligibility for …

(8 days ago) WEBThe guidelines say children and adolescents with a BMI >140% of the 95th percentile (class 3 obesity), and those with a BMI >120% of the 95th percentile (class 2 obesity) and a major comorbidity, should …

https://consultqd.clevelandclinic.org/new-guidelines-broaden-patients-eligibility-for-metabolic-and-bariatric-surgery/

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Texas Medicaid & Health Insurance Superior HealthPlan

(5 days ago) WEBYou are now able to view your health information from a third party app on a mobile device or computer! Check out the Interoperability Page to learn more. Superior HealthPlan exists to improve the health of Texas …

https://www.superiorhealthplan.com/

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Weight Management - Bergen Med

(6 days ago) WEBBergen Medical Associates takes a multidisciplinary approach to weight loss. Weight management services represent coordination between various practitioners, including …

https://www.bergenmed.com/specialties/weight-management/

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Eligibility Requirements - Superior HealthPlan

(7 days ago) WEBHave both Medicare Part A and Medicare Part B, and. Are a United States Citizen or are lawfully present in the US, and. You are eligible for Medicaid and at least one of the …

https://mmp.superiorhealthplan.com/enrollment-information/eligibility-requirements.html

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How US commercial health plans are covering semaglutide …

(8 days ago) WEBThe 11 plans that issued a policy varied in their coverage requirements. Weight requirements. All 11 health plans covering semaglutide specified a BMI or other …

https://cevr.tuftsmedicalcenter.org/news/how-us-commercial-health-plans-are-covering-semaglutide-wegovy-for-obesity-management-2

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Effective May 31, 2023: Clinical Policies - Superior HealthPlan

(5 days ago) WEBSuperior HealthPlan has added a clinical policy to ensure medical necessity review criteria is current and appropriate for members and the scope of …

https://www.superiorhealthplan.com/newsroom/effective-05312023-clinical-policies.html

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Provider and Billing Manual - Ambetter from Superior …

(2 days ago) WEBAmbetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, requirements in this manual and may initiate corrective action, …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/2023-TX-AmbProviderManual.pdf

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September Clinical Policies - Ambetter from Superior HealthPlan

(6 days ago) WEBTo review all policies, please visit Superior’s Clinical, Payment & Pharmacy Policies webpage. Prior to updates, Medical Clinical policies are reviewed and approved …

https://ambetter.superiorhealthplan.com/provider-resources/provider-news/september-clinical-policies0.html

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How to Enroll in Health Insurance Ambetter from Superior …

(8 days ago) WEBAmbetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Superior HealthPlan, …

https://ambetter.superiorhealthplan.com/join-ambetter/become-a-member/how-to-enroll.html

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AMBETTER- PROVIDER BILLING GUIDE 010515 - Ambetter …

(5 days ago) WEBThe Companion Guides for electronic billing are available on our websites. Paper submissions are subject to the same edits as electronic and web submissions. Ambetter …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/AMBETTER-PROVIDER-BILLING-GUIDE-010515.pdf

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A summary for Adult Critically Ill Patients

(8 days ago) WEBkg/d) to determine caloric requirements for BMI < 30. A3b See Obesity for recommendations for patients with BMI ≥ 30. PROTEIN Suggest sufficient (high-dose) …

https://www.nestlemedicalhub.com/sites/site.prod.nestlemedicalhub.com/files/2019-09/Critical%20Care%20Nutrition%20Guidelines%20%28Summary%20for%20Adult%20Critically%20Ill%20Patients%29.pdf

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Provider and Billing Manual - Ambetter from Superior …

(9 days ago) WEBWelcome to Ambetter from Superior HealthPlan (Ambetter). Thank you for participating in our network of physicians, hospitals, and other healthcare professionals. Centene …

https://ambetter.superiorhealthplan.com/content/dam/centene/Superior/Ambetter/PDFs/TX-2019-ProviderManual.pdf

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How to Apply for Medicaid in Texas Superior HealthPlan

(3 days ago) WEBFollow the steps below to apply for Medicaid or CHIP in Texas and sign up to be a Superior HealthPlan member. and choose “Apply for new benefits.”. Call 2-1-1 (TTY 711) toll-free …

https://www.superiorhealthplan.com/content/superior/en_us/members/medicaid/how-to-enroll.html

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English - Superior HealthPlan

(5 days ago) WEBThis information is available for free in other languages. For more information, call Member Services at 1-866-896-1844. Hours are 8 a.m. to 8 p.m., Monday through Friday. After …

https://mmp.superiorhealthplan.com/

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Get Health Insurance in Texas Superior HealthPlan

(1 days ago) WEBAlways Covered. Superior HealthPlan offers affordable individual and family health insurance in Texas. Our plans fit your unique need. Program eligibility depends on your: …

https://www.superiorhealthplan.com/get-insured.html

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Which individual health insurance plan is best for you?

(1 days ago) WEBDo you have relationships with doctors and other providers that are important to you? • If yes, review the networks of the plans you are considering to be sure that your doctors …

https://nj.gov/dobi/division_insurance/ihcseh/whichindividualplanbest/whichplanbest2019.pdf

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