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If you’re considering weight loss surgery, you may be wondering if your insurance will cover the procedure. Here’s what you need to know.
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Obesity is a major problem in the United States. In fact, more than one-third of American adults are considered obese. Obesity increases your risk for a number of serious health conditions, including heart disease, stroke, and diabetes.
Weight loss surgery can help you lose weight and improve your health. But it is a major surgery with risks. It is also very expensive. Most insurance companies will not pay for weight loss surgery unless you meet certain criteria.
This article will discuss whether medical insurance covers weight loss surgery.
What is Weight Loss Surgery?
Weight loss surgery is also called bariatric surgery. It is a type of surgery that helps people with severe obesity to lose weight. The surgery makes changes to your digestive system so that you feel full sooner, absorb fewer calories, and lose weight.
There are several types of weight loss surgery. The most common type is gastric bypass surgery. Gastric bypass is a type of surgery that helps you lose weight by changing how your stomach and small intestine handle the food you eat.
Another common type of weight loss surgery is sleeve gastrectomy. Sleeve gastrectomy is a type of surgery that removes part of your stomach. This makes you feel full sooner and helps you eat less food and absorb fewer calories, which can lead to weight loss.
Weight loss surgery is not for everyone who wants to lose weight. Surgery is usually only recommended for people who have a body mass index (BMI) of 40 or more, or a BMI of 35 or more with one or more serious health conditions such as diabetes, sleep apnea, high blood pressure, or heart disease.
People who have weight loss surgery often lose about 50% to 80% of their excess body weight within the first year after surgery. But post-surgery weight loss can slow down after a year or two, and many people regained some weight back within 5 years after having the surgery.
What Does Medical Insurance Cover?
There are different types of weight loss surgery, and each one is covered differently by medical insurance. The most common type of weight loss surgery is gastric bypass surgery, which is usually covered by most medical insurance plans. However, some insurance plans may not cover all of the costs associated with this type of surgery, so it is important to check with your insurance provider before scheduling your procedure. Other types of weight loss surgery, such as gastric sleeve surgery and duodenal Switch surgery, are usually not covered by medical insurance.
Types of Weight Loss Surgery
Weight loss surgery, also known as bariatric surgery, is a type of surgery that is performed to help people who are obese lose weight. There are a few different types of weight loss surgery, and each one has its own benefits and risks. The most common types of weight loss surgery are Gastric bypass surgery, sleeve gastrectomy, and gastric banding.
Gastric bypass surgery is the most common type of weight loss surgery. In this procedure, the stomach is divided into two sections, and the small intestine is rerouted so that it bypasses the smaller stomach pouch. This allows people to feel full after eating small meals, and can help them lose a significant amount of weight. However, gastric bypass surgery can have some serious side effects, including nutrient deficiencies, diarrhea, and an increased risk of developing gallstones.
Sleeve gastrectomy is another common type of weight loss surgery. In this procedure, a large portion of the stomach is removed so that the remaining stomach takes on a sleeve-like shape. This helps people to feel full after eating smaller meals, and can also help with weight loss. However, sleeve gastrectomy can also cause some side effects, including nausea, vomiting, and an increased risk of developing gastroesophageal reflux disease (GERD).
Gastric banding is a less common type of weight loss surgery. In this procedure, a band is placed around the top part of the stomach to create a small pouch. This helps people to feel full after eating smaller meals and can assist with weight loss. However, gastric banding can cause some side effects, including nausea, vomiting, GERD, and an inability to eat certain foods (such as crunchy or high-fiber foods).
Risks and Complications of Weight Loss Surgery
There are risks and complications associated with any surgery, and weight loss surgery is no different. The most common risks and complications include:
-Dehiscence: This is when the incisions made during surgery begin to separate. This can lead to infection, which can be serious.
-Hernias: Hernias can occur at the incision site or in other areas of the body. They happen when an organ or tissue bulges through a weak spot in the muscle or tissue that surrounds it.
-Leaks: Leaks can occur in the gastrointestinal tract, which can lead to infection or dehydration.
-Ulcers: Ulcers can form in the stomach or intestines, and they can be very painful. If they bleed, they can also be dangerous.
-Dumping syndrome: Dumping syndrome occurs when food moves too quickly from the stomach to the small intestine. This can cause cramping, diarrhea, nausea, vomiting, sweating, and dizziness.
-Malnutrition: Malnutrition can occur if you don’t get enough nutrients from your food or if your body has difficulty absorbing nutrients from food.
While most medical insurance plans will not cover weight loss surgery, some may offer limited coverage for certain types of procedures. Check with your insurer to see if your plan offers any coverage for weight loss surgery.