When Is Weight Loss Surgery Medically Necessary?

What qualifies you for weight loss 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.

When can you be considered for weight loss 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).

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.

What are the requirements for insurance to cover weight loss surgery?

How to get weight loss surgery covered by insurance

  • Be over the age of 18.
  • Have a BMI of 40 or greater, or have a BMI of 35 or greater with a comorbidity such as diabetes or hypertension.
  • Diagnosis of morbid obesity.
  • Pass a psychological evaluation determining you’re emotionally fit to undergo weight loss surgery.
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What medical conditions disqualify you for 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.

How much weight do you need to lose before weight loss surgery?

Amount of pre-surgery weight loss

Some patients are required to lose 10 percent of their weight before weight-loss surgery is performed. For other patients, losing just 15 to 20 pounds right before surgery is enough to reduce the risk of complications.

How overweight do I have to be for gastric 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.

Why is weight loss surgery bad?

Nearly 30 percent of patients who have weight-loss surgery develop nutritional deficiencies, such as anemia, osteoporosis, and metabolic bone disease. These deficiencies can be avoided if intakes of vitamins and minerals are maintained.

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.

Is it hard to get approved for weight loss 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.

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What is the best weight loss surgery 2020?

Sleeve gastrectomy has emerged in the last 12 years as the safest, simplest procedure with the fewest complications. The 45-minute procedure is highly effective at reversing diabetes and causing substantial long term weight loss.