FAQ

What insurance companies cover weight loss surgery

What insurance covers weight loss surgery?

All health funds cover bariatric (weight-loss) surgery, however you will need to be in a high level of cover. To check, simply contact your health fund and quote the following ‘item numbers’: Gastric band 31569, Gastric Sleeve 31575, Gastric Bypass 31572.

What insurance companies pay for bariatric surgery?

Even though most healthcare companies cover bariatric procedures – bariatric surgery insurance coverage will depend if there is a bariatric surgery benefit on the specific health care plan.

Bariatric Surgery Insurance Coverage

  • Aetna.
  • AvMed.
  • Best Choice.
  • Medica.
  • GHI.

How much is gastric sleeve with insurance?

For most weight loss surgeries, insured patients will be out of pocket about $3,500. These fees at Central Coast Surgery are roughly the same for gastric band, gastric sleeve, and gastric bypass procedures.

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).

How can I get my insurance to pay for weight loss surgery?

Getting Your Insurance to Pay for Weight Loss Surgery

Most major insurance companies will require: Proof that surgery or medical intervention is medically necessary. Your surgeon can help provide your medical history and documentation of your weight-related health problems.

Does Medicare pay for weight loss surgery?

Medicare covers weight loss surgery in most cases assuming you meet the coverage requirements. Not every weight loss procedure is covered either. If the criteria are met, Medicare covers Gastric Bypass, Lap Bands and Gastric Sleeve surgeries.

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What is the safest 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.

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.

Does Bariatric Surgery shorten your life?

The study found that while life expectancy improved in most diabetic obese patients who underwent bariatric surgery, it might actually reduce life expectancy in “super super” obese patients, which is a category of obesity that applies to people with a BMI over 60, for example a person who is 5 feet 8 inches tall and …

What qualifies you for gastric sleeve 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.

Does everyone lose hair after gastric sleeve?

Most commonly occurs at 3-5 months post-op. As the body adjusts to the changes, the hair loss will decrease and then stop. Hair should grow back as normal as long as there are no nutrient deficiencies and you are consuming adequate protein.

When should you consider weight loss surgery?

Your doctor may recommend weight-loss surgery if: Your BMI is at least 40 (or your BMI is at least 35 and you have other health problems related to your weight). You have tried for at least 6 months to lose weight with diet and exercise. You do not abuse alcohol.

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How much do you have to weigh to get the sleeve surgery?

Generally, gastric sleeve surgery is indicated for morbidly obese adults — that is, people between 18 and 65 with a body mass index (BMI) of 40 or higher. For a person standing 5-foot-9, that equates to a body weight of 270. People with a body-mass index of 35 — 235 pounds for a 5-foot-9-inch adult — can also qualify.

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