How hard is it to get approved for weight loss surgery?

How can I get my doctor to approve 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.

How long does it take insurance to approve weight loss surgery?

It can take two to four weeks for the insurance company to respond with a decision.

What would disqualify you from weight loss surgery?

These are as follows: Drug and/or alcohol addiction. Age under 16 or over 75. History of heart disease or severe lung problems.

Does insurance cover weightloss surgery?

All health funds cover bariatric (weight-loss) surgery, however you will need to be in a high level of cover. To check, simply contact your health fund and quote the following ‘item numbers’: Gastric band 31569, Gastric Sleeve 31575, Gastric Bypass 31572.

How many pounds overweight for gastric sleeve?

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).

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How can I get my insurance to pay for bariatric surgery?

How to get weight loss surgery covered by insurance

  1. Be over the age of 18.
  2. Have a BMI of 40 or greater, or have a BMI of 35 or greater with a comorbidity such as diabetes or hypertension.
  3. Diagnosis of morbid obesity.
  4. Pass a psychological evaluation determining you’re emotionally fit to undergo weight loss surgery.

Why was bariatric surgery denied?

While some patients may be denied coverage due to a clerical error or a technicality which can be overturned, other patients may not be deemed candidates for bariatric surgery by their insurance company and therefore not have coverage.

How quickly can I get bariatric surgery?

Most patients can be pre-approved for bariatric surgery within a matter of 90 days/12 weeks (with consecutive office visits throughout) if there are no medical weight loss program requirements, but there is no guarantee.

What BMI do you have to have for bariatric surgery?

To be eligible for weight-loss surgery, you must meet the following requirements: Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40 and an obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.

How much do you have to weigh to get the sleeve?

Generally, gastric sleeve surgery is indicated for morbidly obese adults — people between 18 and 65 with a body mass index (BMI) of 40 or higher. For example, for a person standing 5-foot-9, that equates to a bodyweight of 270.

How much does a gastric sleeve cost?

How much is gastric sleeve surgery? The average cost of gastric sleeve surgery is $9,350. This cost generally includes anesthesia, the hospital facility fee, surgeon’s fees, pre-operative lab and X-ray fees, and follow-up care.

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