How Can I Qualify for Bariatric Surgery?
Many patients who have struggled to lose weight through diet and exercise are curious if they qualify for bariatric surgery. Of course, two factors contribute to “qualification.” You can qualify for surgery, and you can qualify according to your medical policy. To help people better understand the approval process, our weight loss surgeons offer a quick overview of what medical insurance companies may require for approval for weight loss surgery, as well as the typical qualifications to be a candidate for a weight loss procedure.
Two main aspects are considered when determining if a patient is a good candidate for a bariatric procedure: body mass index (BMI) and obesity-related health conditions. Each weight loss technique has slightly different requirements for BMI, which is usually modified based on whether an individual also experiences weight-related medical concerns. Generally speaking, the minimum BMI for any weight loss surgery is 35.
As for the medical insurance approval process, this can vary dramatically from policy to policy. However, most insurances that cover bariatric surgery will require a patient to prove they have made a sincere effort to lose excess weight through diet and exercise before approving treatment. They may also have to show evidence of weight-related medical problems and other ways their weight negatively interferes with their life. The approval process can be long and arduous, which is why it is essential to choose a bariatric practice that is familiar with healthcare protocols and can support you through the experience.
For more detailed information on bariatric surgery and how you can qualify for a procedure, we welcome you to call our office to schedule a consultation or to attend one of our pre-surgical counseling seminars.
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Need help registering for support groups, monthly workshops or bariatric seminars? Unsure of the process or how to begin? We take pride in offering concierge style guidance for all current and potential patients.