Introduction
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.
Is bariatric surgery covered in insurance?
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 long does weight loss surgery take to get approved?
So How Long Does Surgical Insurance Approval Take? Most patients can be pre-approved for bariatric surgery within a matter of 90 days/12 weeks (with consecutive office visits throughout) if there are no medical weight loss program requirements, but there is no guarantee.
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.
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.
What is considered medically necessary for bariatric surgery?
Medical guidelines
The surgery may also be an option for an adult who meets these three conditions: BMI of 35 or higher. At least one obesity-related medical condition. At least six months of supervised weight-loss attempts.
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.
Is gastric sleeve cheaper than bypass?
Costs. Although lap-band surgery, a form of bariatric surgery, is cheaper than both gastric surgeries, gastric bypass is traditionally cheaper than a gastric sleeve.
Is it hard to get approved for gastric sleeve?
HealthFirst requirements for gastric sleeve
Your BMI must be 40 or higher. Your BMI must be
HealthFirst requirements for gastric sleeve
Your BMI must be 40 or higher. Your BMI must be
Conclusion
Typically, we recommend that patients wait between weeks (for stapled procedures such as gastric sleeve or bypass) before returning to their jobs.
