Does Medical Mutual Cover Weight Loss Surgery

by Penny Alba

Introduction

Endoscopic sleeve gastroplasty is a new type of minimally invasive weight loss procedure. In endoscopic gastroplasty, a suture device is inserted through the throat and into the stomach. The endoscopist then places sutures in the stomach to make it smaller.

Does Mediclaim cover bariatric surgery?

Since the cost of using bariatric surgery is higher, you may be wondering if you are covered by health insurance. Fortunately, as per the guidelines set by IRDAI (Insurance Regulatory and Development Authority of India) in 2019, bariatric surgery is included in health insurance.

How do I qualify for bariatric surgery in South Africa?

Bariatric surgery is a major procedure and you must meet certain medical guidelines to be eligible for the surgery:
A body mass index (BMI) of 40 or greater;
A BMI of 35 or greater with comorbid health conditions (such as type 1 2 diabetes, hypertension, hyperlipidemia, osteoarthritis or sleep apnea);
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What is a gastric band for weight loss?

Laparoscopic gastric banding is a surgical procedure to help with weight loss. The surgeon places a band around the top of your stomach to create a small pouch to hold the food. The group limits the amount of food you can eat by making you feel full after eating small amounts of food.

Is Medical Mutual only in Ohio?

Medical Mutual of Ohio (MMOH) is an American mutual. It is the oldest and largest health insurance company headquartered in Cleveland, Ohio, serving more than 1.6 million customers.
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Medical Mutual of Ohio.
Type Mutual
Website Medmutual .com
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Can I take out insurance to cover bariatric surgery?

Most insurance covers bariatric surgery. Bariatric surgery coverage is required for all individual, family and small group insurance policies in 23 states.

Why isn’t obesity covered by insurance?

No. Obesity is considered a pre-existing condition under the Affordable Care Act (ACA). So, as with all pre-existing conditions, insurance companies cannot force people with a high BMI to pay more premiums.

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.

How do people pay for bariatric surgery?

Fortunately, California is one of 23 states that require individual, family and small group insurance plans to cover bariatric surgery through the Affordable Care Act. Most people can get coverage for bariatric procedures through their PPO or Medicare.

What will qualify me for bariatric surgery?

To be eligible for bariatric surgery, you must meet the following conditions: 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.

Conclusion

1. Fewer people are having adjustable gastric banding surgery. The popularity of adjustable gastric banding surgery has declined in the United States since its peak in 2008. Many patients reported complications and limited weight loss after the procedure.

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