Bariatric Surgery Program

Resources and Requirements for Employees Covered Under the District's Group Medical Plan

Effective January 1, 2020

The District currently covers:

  • Gastric Sleeve (new!)
  • Lap Band – continued medical services
    (no new Lap Band authorizations)

Gastric Sleeve*

Overview of Procedure

  • The surgeon creates a small stomach “sleeve” using a stapling device
  • The sleeve is about the size of a banana¬†
  • The rest of the stomach is removed

What Does the Procedure Do?

  • Permanently reduces the size of your stomach, which limits how much food you can eat¬†
  • Allows food to pass normally through your digestive tract, letting the body fully absorb vitamins and nutrients

*Medical disclaimer: This information is not intended to replace the advice of your medical provider

For more information on bariatric surgery procedures from the American Society for Metabolic and Bariatric Surgery (ASMBS), please click here.

The group medical plan you are currently enrolled in will determine your out-of-pocket costs.

For more details regarding the cost associated with your plan, please contact Patty Nguyen, our Florida Blue Onsite Representative  at 904-635-9221 or email Patricia.Nguyen@bcbsfl.com.

1. STANDARD GUIDELINES FOR BARIATRIC (GASTRIC SLEEVE) SURGERY – Options effective January 1, 2020

  • Must be an established patient with a primary care provider
  • Must access surgery services through one of the Blue Distinction Hospitals
  • Prior Authorization required
  • Compliance with selected surgeon’s per-surgery program

2. PASCO PRE-SURGERY GUIDELINES

  • Six (6) consecutive months supervised diet
  • Six (6) months exercise program
  • Tobacco free, or participation in a tobacco cessation program
  • If required, sleep study may be completed through the HWCs

Must meet program criteria while covered under the District’s group medical plan

3. PASCO POST-SURGERY GUIDELINES

  • Must be in compliance with surgeon’s follow-up schedule
  • Must be in compliance with nutritional recommendation for six (6) months post surgery

What is a Blue Distinctions Hospital?

The Blue Distinction program was developed with input from the medical community and evaluates providers on their ability to deliver high quality and safe specialty care based on criteria that directly impacts patient results – e.g., history of better outcomes for patients.

For a listing of all local Blue Distinction Providers, please click here.

Employee Assistance Program (EAP)

Did you know all employees and their insurable dependents have access to five (5) free counseling sessions per issue per year through the EAP?

Click here to learn more!

Onsite Health and Wellness Centers (HWC)

Did you know the following services are available at the HWCs at no cost to you?

  • Lab work
  • Sleep Studies
  • Access to Health Coaches, including a Registered Dietitian and Exercise Physiologist
  • Tobacco Cessation Programs

Log into www.MyHealthOnSite.com or call (888) 644-1448 to schedule your appointment with an HWC Provider.

Florida Blue 24 hour Nurse Line
(877) 789-2583

American Society for Metabolic and Bariatric Surgery (ASMBS)

Learn more about the gastrict sleeve procedure here.

My Health Onsite

(888) 644-1448
www.MyHealthOnSite.com