Does County Care Cover Weight Loss Surgery

by Patty Allen

Introduction

CountyCare is providing notice to all participating network providers of a network change related to Weight Loss (Bariatric) Surgical Services. Effective March 13, 2019 all CountyCare members being considered eligible candidates for weight loss surgery should be referred for weight loss surgical services to John H.

How much does gastric sleeve surgery cost in Illinois?

$15,200 to $19,805
How Much Does a Gastric Sleeve (inpatient) Cost? On MDsave, the cost of a Gastric Sleeve (inpatient) in Illinois ranges from $15,200 to $19,805. Those on high deductible health plans or without insurance can shop, compare prices and save. Read more about how MDsave works.

What’s the difference between gastric bypass and gastric sleeve surgery?

Gastric sleeve is the removal of a portion of the stomach. Weight loss may take longer than with gastric bypass. In a gastric bypass, a small gastric pouch is created and the small bowel is re-routed. It’s more invasive than the sleeve due to the rerouting of the small bowel.

How long does it take BCBS Il to approve bariatric surgery?

How long does it take BCBS to approve bariatric surgery? Blue Cross Blue Shield will take up to 30 days on average to approve your request for bariatric surgery.

What criteria do you have to meet for weight loss surgery?

To be eligible for weight-loss surgery, you must meet the following requirements: 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 severe sleep apnea.

What can disqualify you from bariatric surgery?

These are as follows:
Drug and/or alcohol addiction.
Age under 16 or over 75.
History of heart disease or severe lung problems. .
Chronic pancreatitis (or have a history of this).
Cirrhosis of the liver.
Autoimmune disease such as systemic lupus erthyematosus.
Blood disorder which increases your risk of heavy bleeding.
.

How many years does gastric sleeve last?

Laparoscopic sleeve gastrectomy is a safe and effective procedure, with good results in the short and medium term. Long-term follow-up reveals a tendency to weight regain after approximately 2 years from primary surgery, with the need for revisional surgery in some cases.

What is the mortality rate of gastric sleeve?

Data involving nearly 60,000 bariatric patients from ASMBS Bariatric Centers of Excellence database show that the risk of death within the 30 days following bariatric surgery averages 0.13 percent, or approximately one out of 1,000 patients.

How much stomach is cut out in gastric sleeve?

This procedure is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen. During sleeve gastrectomy, about 80% of the stomach is removed, leaving a tube-shaped stomach about the size and shape of a banana.

Does your stomach grow back after gastric sleeve?

As such the answer to can your stomach grow back after weight loss surgery is NO, it will not grow back to its original size, but rather hold a capacity that allows the patient to have a long term normal life once they achieve their weight loss success.

As such the answer to can your stomach grow back after weight loss surgery is NO, it will not grow back to its original size, but rather hold a capacity that allows the patient to have a long term normal life once they achieve their weight loss success.

Conclusion

Gastric bypass patients lose between 50 to 80 percent of excess bodyweight within 12 to 18 months, on average. Gastric sleeve patients lose between 60 and 70 percent of their excess body weight within 12 to 18 months, on average.

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