None: ☐ MI/ Medicaid: Gastric Balloon and Stapling procedures are specifically excluded from this benefit. IL/ Medicaid: Gastric Balloon and Stapling procedures are specifically excluded from this benefit.
What is the wait time for bariatric surgery?
A significant proportion of the wait time experienced by patients referred to bariatric surgery is between referral and consultation with a specialist. Patients in most provinces wait for two years or more, and the wait can be as long as four to five years.
How long does prior authorization take for bariatric surgery?
Most patients can be pre-approved for bariatric surgery within a matter of 90 days/12 weeks (with consecutive office visits throughout) if there are no medical weight loss program requirements, but there is no guarantee.
Does the Healthy Michigan Plan cover bariatric surgery?
Yes, Michigan’s benchmark plan includes coverage for bariatric surgery.
Can I buy insurance for bariatric surgery?
Yes. You will have to hold health insurance that covers weight loss surgery for 12 months before you are covered. It’s included with all gold-level hospital policies.
What BMI qualifies for bariatric 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.
How much do you have to weigh to get 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 much weight do you need to lose before bariatric surgery?
Amount of pre-surgery weight loss Some patients are required to lose 10 percent of their weight before weight-loss surgery is performed. For other patients, losing just 15 to 20 pounds right before surgery is enough to reduce the risk of complications.
How hard is it to get approved for bariatric 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.
How do you get approved for bariatric surgery?
Bariatric Surgery 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.
- Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate.
What are the indications for bariatric surgery?
Body Mass Index (BMI) greater than 40
Should I have bariatric surgery?
You should consider bariatric surgery if you are more than 100 pounds over your ideal body weight or you have a BMI of over 40. Those who are obese but are unable to reach or maintain a healthy body weight for a long period of time, even after consulting a doctor, should seek a weight loss surgery consultation.
What does bariatric mean?
Baros means “weight” in Greek; so, for example, a barometer is an instrument that measures air pressure or weight. Bariatric describes the medical treatment of serious overweight—that is, obesity. Bariatric surgery is only employed when other methods of weight loss have been tried and failed.
Is gastric bypass surgery safe?
While any surgical procedure has risks, bariatric surgery has been found to be one of the safest surgeries to undergo. It is considered as safe or more safe when compared to other elective surgeries. Vertical sleeve gastrectomy and roux-en-y gastric bypass procedures use a laparoscopic approach to reduce the risks of complications.
