Will My Insurance Pay For 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.

What is the minimum weight for weight loss 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 severe sleep apnea. Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate.

At what point is weight loss surgery considered?

To be considered for weight loss surgery, a patient must have a body mass index (BMI) of 40 or higher, or a BMI of

How much excess weight can I lose with weight loss surgery?

First, the amount of weight loss depends on the type of bariatric surgery you choose and your general health. That said, the weight loss typically ranges from 40 to 80% of your excess weight. So, a 6 foot 2 patient weighing 400 lbs, and whose ideal weight is 195 pounds may wish to shed 205 lbs of excess weight.

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.

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.

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).

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.

Is it worth it to get weight loss surgery?

“When multiple attempts at weight loss have failed, weight-loss surgery becomes worth it because its benefits far outweigh the chance of complications,” says Dr. Sherman. Like all surgical procedures, weight-loss surgery carries some risk. But that risk is low, Dr.

How do I ask for weight loss surgery?

Make an Appointment with Your Primary Care Physician

Tell your GP that you are interested in weight loss surgery and are seeking a referral. Discuss your present health conditions or any medications you are on and how these may be affected with surgery.

Conclusion

Those factors include:

If you are over the age of 65”although exceptions can be made. If you have a BMI of less than 35. If you drink excessive amounts of alcohol or take illicit drugs. If you have pre-existing medical conditions that generate a high risk situation for surgery.

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