How to get insurance to pay for bariatric surgery

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What insurance pays for bariatric surgery?

Medicare and Medicaid

Medicare covers bariatric surgery as long as all the necessary medical criteria are met and documented.

How can I get insurance to cover bariatric surgery?

Speak with your human resources department – is your company self-insured? Find out if you meet their criteria. Make sure it is documented that you meet their criteria. Work with your surgeon/program to complete a peer-to-peer review if your company covers surgery and you meet the criteria.

How can I get weight loss surgery if my insurance doesn’t cover it?

If you’ve tried everything and you’re still getting denied, there are a few other options:

  1. If your HMO plan doesn’t cover obesity surgery, change to a PPO plan at open enrollment if the PPO plan covers it.
  2. Change to your spouse’s plan if it provides coverage.
  3. Get a new job.

How long does insurance approval Take for bariatric surgery?

It can take two to four weeks for the insurance company to respond with a decision. We will call you once we receive word from the insurance company of approval or denial. If the coverage is approved, a surgery date and pre-op appointment are scheduled for the patient.

What is the minimum weight for 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).

Does gastric bypass shorten your life?

For those who are obese, gastric bypass can reduce the risk of death by 40 percent over a seven-year period, according to a 2007 study in the New England Journal of Medicine. They found that people who underwent gastric bypass surgery had a 40 percent reduction in the rate of death compared to their obese counterparts.

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How quickly can I get bariatric surgery?

The entire process, from consultation to surgery, generally takes about six months to complete. It often depends on you and your insurance requirements.

What is the best weight loss surgery?

The three types of surgery included gastric bypass, sleeve gastrectomy and adjustable gastric banding (also known as lap band). The study found that gastric bypass surgery boasted the greatest weight loss — both short- and long-term.

What is the safest form of weight loss surgery?

Gastric Banding

This the simplest and safest procedure of the bariatric surgeries. The weight loss is lower than the other surgeries, however. Also, individuals with gastric banding are more likely to regain weight in the long run.

What is the least expensive weight loss surgery?

June 28, 2011 (San Diego) — In people with diabetes, gastric banding is associated with fewer complications and lower costs over the long run than gastric bypass, the most commonly performed surgery for obesity in the U.S., researchers say.

What is the cheapest gastric surgery?

Self-Pay

  • Surgical Costs for Self-Pay Patients – Basic Packages.
  • LAP-BAND® Removal – As low as $2,200* Costs Included in LAP-BAND® REMOVAL:
  • LAP-BAND® – As low as $11,560* …
  • Gastric Sleeve – As low as $10,000* …
  • Gastric Bypass (RYGB) – As low as $15,500* …
  • Revisional Surgery. …
  • Balloon – Orbera® Intragastric – As low as $7,000*

What can I eat after bariatric surgery?

Soft foods

  • Ground lean meat or poultry.
  • Flaked fish.
  • Eggs.
  • Cottage cheese.
  • Cooked or dried cereal.
  • Rice.
  • Canned or soft fresh fruit, without seeds or skin.
  • Cooked vegetables, without skin.
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What tests are done before bariatric surgery?

Certain basic tests are done prior to bariatric surgery: a Complete Blood Count (CBC), Urinalysis, and a Chemistry Panel, which gives a readout of about 20 blood chemistry values. All patients get a chest X-ray and an electrocardiogram. Many surgeons ask for a gallbladder ultrasound to look for gallstones.

What does Cigna require for bariatric surgery?

The individual is at least 18 years of age or has reached full expected skeletal growth AND has evidence of EITHER of the following: A Body Mass Index (BMI) of 40 or greater. A Body Mass Index between 35 and 40 with at least one significant comorbidity that may include: Type 2 Diabetes.

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