What Insurance Will Cover Weight Loss Surgery

by Penny Alba

Introduction

The following table lists FDA-approved prescription drugs for weight loss. The FDA has approved five of these drugs — orlistat (Xenical, Alli), phentermine-topiramate (Qsymia), naltrexone-bupropion (Contrave), liraglutide (Saxenda), and semaglutide (Wegovy) — for long-term use.

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.

Bariatric surgery under 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. Therefore, it is usually mentioned as an inclusion in most health insurance policies.

How much weight do you have to weigh to undergo 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.

Are obesity medications covered by insurance?

The Affordable Care Act does not require health plans to cover obesity-related medications or surgery, but screenings are covered. Health insurance plans can cover drugs, programs, or even weight loss surgery, but it depends on the specific plan.

How much weight can I lose with medical weight loss?

On average, participants in our program lose 1-3 pounds per week while on the program, with an average of 40 pounds of weight loss at week 17. You can expect to continue losing weight until you reach your own target weight.

Is bariatric surgery the same as bariatric surgery?

Gastric bypass and other weight loss surgeries, collectively known as bariatric surgery, involve modifying your digestive system to help you lose weight. Bariatric surgery is done when diet and exercise haven’t worked or when you have serious health problems because of your weight.

Does bariatric surgery guarantee weight loss?

Success of bariatric surgery

Patients can lose 30 to 50% of their excess weight in the first six months and 77% of their excess weight as early as 12 months after surgery. Another study showed that patients were able to maintain 50-60% excess weight loss for 10-14 years after surgery.

Is bariatric surgery worth it?

All surgeries have risks and benefits to consider. For some patients, it is worth undergoing a bariatric procedure, such as gastric bypass surgery. But it’s also important to do your homework before surgery and have reasonable expectations of what your life will be like after surgery.

How much time off work do you need for bariatric surgery?

We generally recommend that patients wait between several weeks (for stapled procedures, such as gastric sleeve or bypass) before returning to work.

Conclusion

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).

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