What Insurance Covers Weight Loss Surgery?

what insurance covers weight loss surgery
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Understanding the Basics of Weight Loss Surgery

Weight loss surgery, also known as bariatric surgery, is a type of procedure designed to help people achieve long-term weight loss. It works by restricting the amount of food that can be consumed and/or reducing the absorption of calories from food by re-routing the digestive system. Commonly performed procedures include gastric bypass, adjustable gastric banding, sleeve gastrectomy, and biliopancreatic diversion with duodenal switch. The success of any bariatric surgery is dependent on the patient’s commitment to lifestyle changes, including diet and exercise.

Insurance Coverage for Weight Loss Surgery

Insurance coverage for weight loss surgery depends on several factors, including the type of procedure being performed, the patient’s health condition and the insurance provider. Generally speaking, most insurance providers will cover some portion of the cost of bariatric surgery if the patient meets certain criteria. This could include having a body mass index (BMI) of 40 or higher, having a BMI of 35 or higher and having at least one serious health condition related to obesity, such as diabetes, sleep apnea or high blood pressure.

What to Consider Before Pursuing Weight Loss Surgery

Before pursuing weight loss surgery, it’s important to consider the potential risks associated with the procedure. Complications can include infection, blood clots, and nutritional deficiencies. In some cases, the surgery can even be fatal. Additionally, the patient must be committed to making the necessary lifestyle changes to ensure long-term success. As such, the patient should be prepared to adhere to dietary guidelines and a regular exercise program.

The Cost of Weight Loss Surgery

Weight loss surgery can be expensive, with the total cost depending on the type of procedure being performed. For example, gastric bypass surgery typically costs between $15,000 and $25,000 while adjustable gastric banding typically costs between $13,000 and $17,000. Even when insurance is taken into consideration, the patient may still be responsible for a portion of the cost. It’s important to check with the insurance provider to see what is covered before pursuing the procedure.

The Benefits of Weight Loss Surgery

Weight loss surgery can have a number of benefits for those who are morbidly obese. It can help to reduce the risk of serious health conditions, such as diabetes, heart disease, and stroke. Additionally, it can also help to improve mobility and reduce joint pain. Furthermore, it can lead to an improved quality of life and an overall feeling of wellbeing.

Preparing for Weight Loss Surgery

Before undergoing weight loss surgery, the patient will need to meet with a surgeon to discuss the procedure and the potential risks and benefits. The patient may also need to undergo psychological and nutritional counseling. Additionally, the patient may need to undergo additional tests, such as an EKG and blood tests. Furthermore, the patient may need to lose some weight prior to the procedure in order to reduce the risk of complications.

Recovery After Weight Loss Surgery

Recovery after weight loss surgery takes time and patience. Most patients will need to stay in the hospital for several days, and during this time they will be monitored closely. After the patient is discharged, they will need to take it easy and follow the surgeon’s instructions. This may include taking medications, following a special diet, and avoiding certain activities. It’s important to listen to the doctor’s instructions to ensure a safe and successful recovery.

Conclusion

Weight loss surgery can be an effective way to achieve long-term weight loss, but it’s important to understand the potential risks associated with the procedure. Additionally, it’s important to check with the insurance provider to see what is covered before pursuing the procedure. Finally, it’s important to follow the surgeon’s instructions during the recovery period to ensure a safe and successful outcome.

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