You asked: Does my insurance cover gastric sleeve?

How can I get my insurance to pay for gastric sleeve?

To prove to your insurance company that your surgery is medically necessary, following are the typical steps:

  1. Minimum body mass index (BMI) requirements to be confirmed by your physician: …
  2. Complete a medically supervised diet program. …
  3. Schedule a consultation with your bariatric surgeon.

What insurance covers weight loss surgery?

Today most insurance companies that cover weight loss surgery will cover gastric bands, laparoscopic gastric bypass, and gastric sleeve surgery.

Is gastric sleeve safe covered by insurance?

Historically, gastric sleeves, duodenal switches, mini-gastric bypasses and other ‘experimental’ procedures are not covered. Today gastric sleeves, laparoscopic gastric bypass and lap gastric bands are typically covered by most major insurance companies.

What medical conditions qualify for gastric sleeve?

The minimum requirements to qualify for gastric sleeve surgery include: A body mass index (BMI) of 40 or more, OR. A BMI between 30 and 39.9 with a serious obesity-related health problem like diabetes, high blood pressure, sleep apnea, high cholesterol, joint problems, and many others.

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How much does a gastric sleeve cost?

How much is gastric sleeve surgery? 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.

How much overweight do you 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.

How long does it take for insurance to approve gastric sleeve?

It can take two to four weeks for the insurance company to respond with a decision.

How do I qualify 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.

What if your insurance doesn’t cover bariatric surgery?

If your insurance does not provide coverage for bariatric surgery, there are other options available to you. Depending on plan language, consultations, nutritional counseling and pre- and post-operative tests, labs and follow-up visits may be covered, although surgery is not.

How painful is gastric sleeve surgery?

Whether you have gastric bypass, gastric sleeve or Lap Band surgery, there will be pain and it can be significant. It would be nice if we could say gastric bypass surgery produces an 8 out of 10 on the pain scale. Gastric sleeve surgery produces 7 out of 10 on the pain scale and Lap Band surgery is a 5 out of 10.

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What are the cons of gastric sleeve?

Disadvantages

  • Not reversible, because part of the stomach is removed.
  • Weight loss may be more difficult or lessened without the intestinal bypass.
  • The body still tolerates carb-rich and high-fat foods, which can slow weight loss.
  • No dumping syndrome (discomfort from eating foods rich in carbs)