What Private Health Insurance Covers Weight Loss Surgery

by Penny Alba

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.

Can I get weight loss surgery for free in Australia?

If you are interested in getting a free surgery done from a public health facility, you should consult your GP. They should be able to direct you to a Medicare funded bariatric facility (Obesity and Metabolic clinics) where there are waiting times and certain qualifying criteria that must be met.

How much does gastric sleeve surgery cost in Australia?

For non-insured patients, weight loss surgery expenses can be overwhelming. The average gastric sleeve cost without insurance Australia is an approximately $20,000 procedure. This covers everything, from clinic fees to additional hospital costs.

Can I ask my GP for weight loss surgery?

Speak to a GP if you think weight loss surgery may be an option for you. If you qualify for NHS treatment, they can refer you for an assessment to check surgery is suitable. You can also pay for surgery privately, although this can be expensive. Read more about NHS and private weight loss surgery.

What qualifies someone for bariatric 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.

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.

What is the best weight loss surgery in Australia?

Sleeve Gastrectomy and Roux-en-Y Gastric Bypass | Ausmed

Sleeve gastrectomy and Roux-en-Y gastric bypass are two of the most commonly performed bariatric procedures in Australia, the other being gastric banding. They are usually done laparoscopically.

Can I claim weight loss surgery on my taxes Australia?

If your out of pocket expenses for bariatric surgery (and all other net medical expenses) are over the Australian Taxation Office (ATO) threshold, you can claim an offset on your tax return.

How can I access my super for weight loss surgery in Australia?

The process involves completing an application form and obtaining a written letter of support from your GP and one from your specialist. The processing time for this varies but typically lasts around three weeks plus another four to six weeks for the funds to become available in your bank account.

How long is the wait for gastric sleeve Australia?

Patients will only need to allow enough time to commence their mandatory pre-surgery diet, this is usually of 2 weeks duration and varies according to BMI. In most cases we can get patients in for the sleeve gastrectomy within the month following their initial consultation with Dr Adib.

Conclusion

Laparoscopic sleeve gastrectomy is a safe and effective procedure, with good results in the short and medium term. Long-term follow-up reveals a tendency to weight regain after approximately 2 years from primary surgery, with the need for revisional surgery in some cases.

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