How To Get Insurance To Cover Weight Loss Surgery

by Al Paterson

Introduction

What kind of weight loss treatments do insurers cover? The Affordable Care Act requires that most health insurers cover obesity screening and counseling as preventive care for adults and children. Diet counseling is also available for adults at higher risk for chronic disease.

What is the minimum weight for weight loss 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 severe sleep apnea. Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate.

Can you be turned down for weight loss surgery?

Background: Many patients who seek weight loss surgery are denied an operation because of insurance barriers, psychological concerns, and poor medical fitness for surgery.

How do you qualify for prescription weight loss?

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

What is the strongest weight loss pill available?

PhenQ is one of the most effective weight loss pills on the market. It promotes thermogenesis while suppressing your appetite. PhenQ can also boost energy levels with ingredients like Capsimax powder, chromium picolinate, caffeine, nopal, and L-carnitine.

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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.
.

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.

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).

What if insurance doesn’t cover weight-loss surgery?

If your insurance does not provide coverage for bariatric surgery, there are other options available to you. Depending on plan language, consultations, nutritional counseling and pre- and post-operative tests, labs and follow-up visits may be covered, although surgery is not.

How long will I be off work after weight-loss surgery?

Typically, we recommend that patients wait between weeks (for stapled procedures such as gastric sleeve or bypass) before returning to their jobs.

Conclusion

Types of bariatric surgery
Roux-en-Y (roo-en-wy) gastric bypass. This procedure is the most common method of gastric bypass. .
Sleeve gastrectomy. With sleeve gastrectomy, about 80% of the stomach is removed, leaving a long, tube-like pouch. .
Biliopancreatic diversion with duodenal switch.

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