Will Insurance Cover Weight Loss Surgery

by Patty Allen

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.

How overweight do you have to be for 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.

Which weight loss surgery is the safest?

The Vertical Sleeve Gastrectomy is the most widely used, and safest, in the bariatric world. As with any major surgery, gastric bypass and other weight-loss surgeries pose potential health risks, both in the short term and long term.

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.

Who is a good candidate for bariatric surgery?

Body weight greater than 100 pounds or 45 kg above ideal weight. Body Mass Index (BMI) greater than 40 or BMI greater than 35 with medical complications related to obesity, including high blood pressure, type 2 diabetes, sleep apnea and gallbladder disease.

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 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 life expectancy after gastric bypass?

The adjusted median 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

What’s better bypass or sleeve?

The Gastric Bypass carries more risk but has more rewards for patients who need to lose 150 plus pounds, whereas the Gastric Sleeve surgery has a lower complication rate but also the patients who have success typically need to lose 100 or fewer pounds with the gastric sleeve.

The Gastric Bypass carries more risk but has more rewards for patients who need to lose 150 plus pounds, whereas the Gastric Sleeve surgery has a lower complication rate but also the patients who have success typically need to lose 100 or fewer pounds with the gastric sleeve.

Conclusion

You should work alongside your doctor to choose the best weight loss procedure for you. Gastric bypass patients lose between 50 to 80 percent of excess bodyweight within 12 to 18 months, on average. Gastric sleeve patients lose between 60 and 70 percent of their excess body weight within 12 to 18 months, on average.

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