Can Weight Loss Surgery Be Covered By Insurance

by Penny Alba


What types of weight loss treatments do insurers cover? The Affordable Care Act requires most health insurers to cover obesity screening and counseling as preventive care for adults and children. Dietary advice is also available for adults at increased risk of chronic disease.

What is the minimum weight for bariatric surgery?

Have a body mass index (BMI) of 35 or higher, or have a BMI between 30 and 35 and an obesity-related condition, such as heart disease, diabetes, high blood pressure, or apnea severe sleep. Weigh less than 450 pounds, the maximum weight the hospital X-ray equipment can support.

When is bariatric surgery considered?

In general, bariatric surgery may be an option for you if: Your body mass index (BMI) is 40 or higher, which is called extreme obesity. Your BMI is between 35 and 39.9, known as obesity, and you have a serious weight-related health condition, such as type 2 diabetes, high blood pressure, or apnea serious sleep.

Is it worth having surgery to lose weight?

“When several attempts at weight loss have failed, bariatric surgery is worth it because its benefits far outweigh the possibility of complications,” says Dr. Sherman. Like all surgical procedures, bariatric surgery carries certain risks. But this risk is low, Dr.

How do you qualify for prescription weight loss?

Your doctor may prescribe medication to treat your obesity if you have: A BMI of 30 or more. A BMI of 27 or more and a disease or condition that may be related to your weight (this may include diabetes or high blood pressure).

How much weight can you lose with medical weight loss?

Typically, patients report losing half a pound to two pounds a day while on hGC therapy. During an hGC program, patients also learn to eat healthily and can be fully satisfied with less food overall. Please note that pharmaceutical hGC is only available through healthcare professionals.

What is the safest form of bariatric surgery?

The vertical sleeve gastrectomy is the most used and the safest in the bariatric world. As with any major surgery, gastric bypass surgery and other weight loss surgeries have potential health risks, both short and long term.

Can you get a gastric bypass with 200 pounds?

To be eligible for bariatric surgery, you must be between the ages of 16 and 70 (with some exceptions) and be morbidly obese (weigh at least 100 pounds above your ideal body weight and have a BMI of 40).

Why would you be refused bariatric surgery?

But why might a patient not qualify for bariatric surgery? BMI: First and most obvious, they may simply not have a high enough BMI. A BMI of 35 or greater with one or more obesity-related conditions or a BMI of 40 or greater regardless of obesity-related conditions is required to undergo surgery.

How can I request bariatric surgery?

Make an appointment with your GP

Tell your GP that you are interested in bariatric surgery and are looking for a referral. Discuss your current medical condition or any medications you are taking and how these may be affected by the surgery.


If you are over 65, although exceptions can be made. If you have a BMI less than 35. If you drink excessive amounts of alcohol or use illegal drugs. If you have any pre-existing medical conditions that create a high-risk situation for surgery.

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