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Is Weight Loss Surgery Covered By Insurance

by Al Paterson


Your health care provider may suggest weight-loss medication in some cases. These include if you have been unsuccessful in losing weight through diet and exercise and your: Body Mass Index (BMI) is over 30. This means you live with a condition that involves having too much body fat, called obesity.

Can weight loss be covered by insurance?

What types of weight loss treatments do insurers cover? The Affordable Care Act requires most health insurers to cover obesity screening and counseling as preventive care for adults and children. Dietary advice is also available for adults at increased risk of chronic disease.

How much weight should you lose before gastric sleeve?

Some patients need to lose 10% of their weight before undergoing bariatric surgery. For other patients, losing just 15 to 20 pounds right before surgery is enough to reduce the risk of complications. It is important to follow your surgeon’s preoperative diet and nutritional guidelines.

What is the safest bariatric surgery?

The vertical sleeve gastrectomy is the most used and the safest in the bariatric world. As with any major surgery, gastric bypass surgery and other weight loss surgeries have potential health risks, both short and long term.

What type of doctor do I need to lose weight?

These healthcare providers are called bariatric healthcare providers or bariatricians. Some of these healthcare providers may also be bariatric surgeons. Bariatric surgeons are trained to perform surgeries that help with weight loss.

What treatments does the insurance not cover?

What health care services are often not covered?
Dental services for adults. .
Vision Services. .
Headphones. .
Discovery of prescription drugs. .
Acupuncture and other alternative therapies. .
Weight loss programs and bariatric surgery. .
Cosmetic surgery. .
Infertility treatment.

What can disqualify you from bariatric surgery?

They are:
Drug and/or alcoholism.
Age under 16 or over 75.
History of heart disease or serious lung problems. .
Chronic pancreatitis (or have a history of it).
Cirrhosis of the liver.
Autoimmune disease such as systemic lupus erythrematosus.
Blood disorder that increases the risk of heavy bleeding.

Can you get a gastric bypass with 200 pounds?

To be eligible for bariatric surgery, you must be between the ages of 16 and 70 (with some exceptions) and be morbidly obese (weigh at least 100 pounds above your ideal body weight and have a BMI of 40).

Why would you be refused bariatric surgery?

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

What is the minimum weight for bariatric 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 apnea severe sleep. Weigh less than 450 pounds, the maximum weight the hospital X-ray equipment can support.


The average adjusted life expectancy in the surgery group was 3.0 years (95% CI, 1.8 to 4.2) longer than in the control group, but 5.5 years shorter than in the general population. The

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