LinkedIn. Lifelong follow-up after bariatric surgery is necessary to ensure that nutritional requirements are met and to detect deficiencies and other complications. San Francisco, CA 94143. Bariatric Surgery Requirements. Revision bariatric surgery or conversion of one type of bariatric surgery to a different procedure may be considered medically necessary using one of the procedures using the following criteria: Treatment of surgical complications following the original bariatric surgery. Comprehensive list of insurance companies and their requirements to approve coverage for lap bands, gastric bypass, gastric sleeve and other weight loss surgeries. Qualifications for bariatric surgery in most areas include: BMI ≥ 40, or more than 100 pounds overweight. Your primary care provider can assist you with this. Initial bariatric surgery performed and date and subsequent complications that require further surgical intervention *For code descriptions, see the . In obese people who are at risk of health problems and do not manage to lose weight after trying regular exercise, diet, or taking medication, a doctor may suggest Bariatric surgery. UCSF Benioff Children's Hospital – Oakland, UCSF Benioff Children's Hospital – San Francisco. Sign In . Patients spend an average of two to five days in the hospital following bariatric surgery, or longer if complications develop. At least one obesity-related medical condition. Bariatric Surgery: Definition, 4 Types, and Requirements, Blood in Urine: 2 Types, Symptoms, and C…, Down Syndrome: 3 Types, Symptoms, Causes…, Blood Vessel: Definition, 3 Types, Stuct…, 8 Symptoms of Gluten Intolerance To Watc…, Sedentary Lifestyle: Definition, 3 Class…, Non-alco**holic fatty liver disease (NAFLD), Have a body mass index (BMI) of 40 or more, Has a BMI of 35-39.9 with the aforementioned medical disorders, Has a body mass index of more than 35 with comorbid disease (infectious diseases), Weight loss never goes down despite having a healthy diet and lifestyle, Not taking drugs that may be contrary to Bariatric surgery, Has a hormonal disorder that makes her obese. Lipids and Bariatric Procedures Parts 1 & 2: Scientific Statement from the American Society for Metabolic and Bariatric Surgery (ASMBS), the National Lipid Association (NLA), and Obesity Medicine Association (OMA) Published May 2016. This procedure will make a person feel full quickly and determine how many portions of food can be consumed. We'll also set a date for your operation, which is usually four to six weeks after this visit. Adjustable gastric banding is better known as gastric band surgery. Average Cost of Gastric Bypass Surgery. You can also expect to gain stamina, energy, and lead a more active lifestyle following weight loss. Aetna Insurance Requirements for Bariatric Surgery Gastric Bypass Gastric Sleeve Gastric Banding Lap Band What Does Aetna Require Before Insurance Pays For Weight Loss Surgery When you’re in need of a weight loss surgery and have Aetna as your health coverage, you’ll be glad to know that it covers the majority of the weight loss surgeries. It can reduce excess weight by up to 85% and reduces the risk of diseases that are exacerbated by excess weight. Medicare does cover bariatric surgeries as long as the patient qualifies according to their requirements. The surgery may also be an option for an adult who meets these three conditions: BMI of 35 or higher. Google. Roux-en-Y is one type of bariatric, or weight loss, surgery offered at Lompoc Valley Medical Center. Didn't find the topic you're looking for? 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. Bariatric surgery is offered in private clinics across Alberta and the rest of Canada. This usually includes blood tests, medical imaging and, in some cases, minor procedures such as an upper endoscopy to confirm you're a good candidate for surgery. Travelling out of country for some types of medical procedures is called medical tourism. Has a body mass index of more than 35 with comorbid disease (infectious diseases) Experiencing two or more chronic diseases. 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