obesity surgery
Information on obesity surgery. Read more about it in the posts below.
— obesity surgery
Relating to obesity surgeryDoes Medical Insurance Cover Weight-loss Procedures?
May 4, 2009
Most health insurance policies actively cover surgery for weight loss. The majority require a letter of medical necessity from the prescribing doctor which states that it is not simply for improving one’s looks but is definitely in need of medical attention. The bariatric center can provide a detailed letter to the medical insurance company which will by and large result in pre-certification of coverage. Some health insurance companies may try to deny you health insurance coverage despite the doctor’s recommendation. It is then your responsibility to contact the health insurance carrier and be more assertive in your appeal. The weight loss surgery clinic that you use can often help direct you in what needs to be done to be successful in obtaining health insurance coverage for your bariatric procedure..
Which insurance companies cover bariatric surgery?
You will want to obtain a copy of your current insurance policy to determine if these procedures are covered. It isn’t always to so easy to navigate the waters in terms of getting the coverage you need for weight loss surgery. That is why most bariatric centers will help you along the way to get the approval that you need. Work with them closely to get the approval you need. They have the experience and will generally know what companies do and don’t cover.
Some health insurance companies that cover weight loss surgery are:
- Blue Cross/Blue Shield (not in all states)
- First Health
- United Healthcare
- Aetna
- PHCS
How About Medicare?
In February 2006, Medicare started covering Adjustable Lap Band Surgery and Roux-en-Y Gastric Bypass (open or laparoscopic). In addition to meeting standard patient criteria, Medicare coverage only applies when the bariatric procedure is done in a hospital or by a medical practice that is awarded a “Center of Excellence” by the American College of Surgeons or the American Society for Bariatric Surgery. In general, if the procedure is performed by a Bariatric Center of Excellence team, Medicare normally pays for it as long as a patient falls within Medicare’s guidelines. Medicare requires patients to have a BMI of 35 or more with at least one considerable chronic health problem. Medicare has a coverage policy manual that you need to become familiar with, but your bariatric clinic staff will be very helpful if you need answers. It will not cover liposuction. Related Terms: Obesity Surgery, Gastric Bypass Surgery expensive, Bariatric Surgery, Bariatric Surgery Costs, Paying for Gastric Bypass Surgery
Bariatric Bypass
February 11, 2009
Bariatric Bypass. After undergoing surgeries like Roux-en-Y gastric bypass and Adjustable Gastric Band procedures, you should have a bariatric surgery clinic that can do follow-up. A clinic that actually cares.
The qualifications of your bariatric physician is especially crucial to the success of each and every patient. You most definitely want a surgeon who is properly licensed and trained in the field of bariatric medicine from an accredited medical school, preferably in the United States. A surgeon’s experience and level of post-operative medical care makes a huge difference in the success of weight loss surgery. If your doctor is to prove their experience, they should be able to provide before and after pictures of past success in former patients. Awards and other forms of recognition from the bariatric community also make for a good sign that your bariatric doctor is credible and good.
Most bariatric centers are very selective who they take for their for their surgical patients. Usually, to be considered for weight loss surgery you would need to have a BMI (Body Mass Index) of 40 or more, or a BMI of 35 to 39.9 as well as obesity related illnesses such as high blood sugar levels as well as hypertension.
By way of losing weight, the human body in fact loses mass rapidly because you are incapable to consume as the enormous food portions as you did prior to surgery.
While considering a particular weight loss doctor it is vitally important to do your research. Find out if your surgeon has the essential qualifications from an accredited medical school and that he has an excellent set of patient and doctor references which the bariatric physician is willing for you to look at.
Recent studies suggest that laparoscopic obesity surgery may even have a a good affect on mortality (death) rates in severely obese individuals. The best results are achieved when laparoscopic obesity surgery is followed with healthful eating behaviors and regular exercise.The data also show that post-op health results for patients of laparoscopic obesity surgery are remarkably good, with major improvements in all areas of chronic disease. Conditions include diabetes, cardio-vascular health, degenerative musculoskeletal problems, and sleep disorders
When a person loses weight, chronic weight-related problems such as hypertension and type 2 diabetes get better, but if a person regains weight, these benefits are lost.

