What qualifies you for bariatric surgery?

How much do you have to weigh to get bariatric surgery?

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).

Can you be denied for bariatric surgery?

Further, getting a pre-authorization for surgery is not always successful. 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 do I get referred to weight loss surgery?

Ask your primary-care doctor or gynecologist for a referral to a weight loss surgeon. They’ll likely have patients who have undergone weight loss surgery, seen their success, and can help guide your choice of surgeon.

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Can you get gastric bypass at 200 lbs?

Although some unscrupulous doctors may operate on such people, American Society for Bariatric Surgery guidelines say patients should have a body mass index (BMI) above 40 (which is about 100 pounds overweight), or a BMI above 35 plus serious obesity-related medical problems like type 2 diabetes.

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.

How hard is it to get approved for bariatric surgery?

You typically qualify for bariatric surgery if you have a BMI of 35-39, with specific significant health problems like Type 2 diabetes, sleep apnea or high blood pressure. A BMI of 40 or higher also is a qualifying factor.

Do insurance companies cover bariatric surgery?

Most personal insurance plans do not cover weight loss surgery at this point in time. However, if weight loss surgery at a private clinic is the best option for you, there are several financing options available to apply for. You may also quality for a federal medical tax credit for medically necessary procedures.

How much does bariatric surgery cost out of pocket?

According to Obesity Coverage, a bariatric surgery information site, the average cost of lap-band surgery is $14,500, while gastric bypass costs an average of $23,000. The price tag might be gulp-inducing to you, and that’s understandable; it’s more than some new cars cost. However, it can be well worth the investment.

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How do I ask my doctor for bariatric 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 bariatric surgery?

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

How do I get my doctor to give me a gastric sleeve?

Following these eight steps is a good way to get your bariatric surgery insurance approval:

  1. 1) Confirm your minimum body mass index (BMI) requirements with your doctor.
  2. 4) Obtain a letter of medical necessity from your primary care physician.
  3. 6) Undergo a psychological evaluation.
  4. 7) Time to send away!

Why you should not have bariatric surgery?

Fact: For most people, the risk for bariatric surgery is low, comparable to having your gall bladder removed. In fact, it may be riskier to not have the surgery. “If you stay morbidly obese,” Torquati says, “you are much more likely to die from heart disease, diabetes, stroke and even some types of cancer.”

How much does gastric balloon cost?

How Much Do They Cost? Gastric balloons are currently not covered by insurance in the United States. The cost ranges between $6,000 and $9,000.

How much does gastric sleeve cost?

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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