Does My Insurance Cover Weight Loss Surgery

by Patty Allen

Introduction

Since the cost of availing Bariatric Surgery is on the higher side, you may be wondering if it is covered under health insurance. Fortunately, as per the guidelines put forth by IRDAI (Insurance Regulatory and Development Authority of India) in 2019, Bariatric Surgery is included in health insurance.

How overweight do you have to be for 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.

Who is not a candidate for bariatric surgery?

If you are over the age of 65although exceptions can be made. If you have a BMI of less than 35. If you drink excessive amounts of alcohol or take illicit drugs. If you have pre-existing medical conditions that generate a high risk situation for surgery.

How much weight should I be losing after gastric sleeve?

The amount of weight you lose from gastric sleeve surgery depends on many factors, including your current weight, gender, and health. On average, patients who follow the Sleeve Clinic’s surgical aftercare program can expect to lose approximately 55-75% of their excess weight.

Can you get gastric bypass at 200 lbs?

To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40).

Why would you be denied bariatric surgery?

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

How quickly can you get bariatric surgery?

How long do I have to wait before having bariatric surgery? From the time of the initial consultation, the average wait time is 6-8 weeks. During this time, you will undergo preoperative testing to evaluate whether surgery is a suitable option.

How long does it take to get approved for gastric bypass?

The waiting period is generally about two to six months, depending upon precertification approval. During your initial consultation, the surgeon will determine whether health-related factors might delay your surgery.

Do you need to lose weight before bariatric surgery?

Some patients are required to lose 10 percent of their weight before weight-loss surgery is performed. For other patients, losing just 15 to 20 pounds right before surgery is enough to reduce the risk of complications. It’s important to follow your surgeon’s pre-surgery diet and nutrition guidelines.

What is the dumping syndrome?

Overview. Dumping syndrome is a condition in which food, especially food high in sugar, moves from your stomach into your small bowel too quickly after you eat. Sometimes called rapid gastric emptying, dumping syndrome most often occurs as a result of surgery on your stomach or esophagus.

Overview. Dumping syndrome is a condition in which food, especially food high in sugar, moves from your stomach into your small bowel too quickly after you eat. Sometimes called rapid gastric emptying, dumping syndrome most often occurs as a result of surgery on your stomach or esophagus.

Conclusion

Studies show that on average sleeve gastrectomy patients lose 70% of their excess weight. Some lose more and some lose less. No one, however, loses too much weight to the point of becoming malnourished.

Related Articles

Leave a Comment