© 2019 by PDConsulting. 

San Antonio | Texas

Insurance Plans 

How to use this page: Each policy is listed by the insurer name, followed by the policy number if given, then followed by the date they list as when the policy was either a. last reviewed or b. effective date. Please note, I do not work for or with any insurer, I have only assembled the most recent policy listed on their sites. Any insurer may change their policy at any time without notice. The individual policies only apply if you have bariatric coverage on your individual plan which commonly varies by employer.
This page is meant to serve only as a resource. You can click on the individual policies to print, save, download or share. 
Aetna Policy No: 0157
Last reviewed 4/11/2018
Anthem Policy No: 00024
Effective Date: 9/27/2017
Blue Cross of Alabama Policy No: 053
Last Reviewed: 05/01/2017
Blue Cross of Arizona Policy No: 1998118
Effective Date: 01/01/2018
Blue Cross of Arkansas Policy No: 1998118
Last Reviewed: 12/01/2017
Blue Cross Federal Employee Bariatric Coverage, page 67
Last Reviewed: 01/01/2018
Blue Cross of Florida
Policy No: 02­40000­1
Effective Date: 09/15/2017
Blue Cross of Illinois    Policy No: 716.003
Last Reviewed: 03/01/2018
Blue Cross of Kansas City Policy No: 7.01.47
Last Reviewed: 12/01/2017
Blue Cross of Minnesota Policy No: IV­19­004
Effective Date: 10/16/2017
Cigna 
Policy No.: 0051
Effective Date: 06/15/2017
Blue Cross of Michigan Policy
Reviewed/Effective: 2018
Blue Cross of Michigan Form 1 of 2
Reviewed/Effective: 2018
Blue Cross of
North Carolina 
Last Reviewed: 05/01/2017
Blue Cross of Tennessee Policy Complete form ->
Effective Date: 12/20/2017
Highmark Delaware  Health Options
Policy No: MP-004-MD-DE
Effective Date: 05/15/2018
Highmark Delaware
Policy No: G­-24-­014
Effective Date: 02/26/2018
Blue Cross of Michigan Form 2 of 2
Reviewed/Effective: 2018
Blue Cross of Tennessee Predetermination form 
Effective Date: 02/21/2018
United Healthcare
Policy No: 2018T0362AA
Effective Date: 02/01/2018