Revision Bariatric Surgery Insurance Coverage

I had my revision surgery on October 10 2012. Coverage is required by the Affordable Care Act in some states.

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Bariatric surgery insurance coverage varies by insurance policy.

Revision bariatric surgery insurance coverage. Bariatric surgery should be reserved for patients for whom all other methods of treatment have failed. Insurance companies need one or more of the following boxes checked before they consider covering a revision. If your policy covers weight loss surgery and you meet the qualification requirements most plans will pay for you to have gastric sleeve gastric bypass Lap-Band or duodenal switch surgery.

If your Insurance Provider is Not. Weight Loss Surgery Insurance by Jet Medical Tourism Bariatric Revision Surgery Bariatric Surgery Gastric Bypass Surgery Gastric Sleeve Surgery Weight Loss Surgery Mexico Obesity in the US Canada and some other countries has increased in epidemic proportions over the. Bariatric surgery insurance coverage varies by insurance policy.

In a gastric sleeve revision the surgeon removes a portion of the patients stomach and joins what remains of it forming a sleeve-like shape. Revision bariatric surgery is undertaken if the original surgery had complications or has less than optimal results. Check your Wellmark Blue Cross Blue Shield Insurance Policy for bariatric coverage.

Ad Contact Our Responsive Insurance Advisors. An insurance company will only cover for the revision bariatric surgery if it is proven that the original surgery failed because of actual complications or if the patient failed to comply with post-op procedures. Bariatric surgery is also known as metabolic surgery or weight loss surgery While losing excess weight can be one obvious and visible benefit coming from these procedures it isnt the main reason most people try to get insurance to cover them.

GEHA considers revision bariatric surgery eligible for coverage when one of the following medical necessity criteria have been demonstrated. Let us be your advocate with your insurance. So how can you get revision bariatric surgery insurance coverage.

Your costs with insurance can be as low as 0 depending on your policy. 1745 outpatient or ASC 43860 Inpatient only not reimbursed for hospital Revision of gastrojejunal anastomosis gastrojejunostomy with reconstruction with. Coverage for revisional bariatric surgery is determined by your specific insurance provider and plan.

I was 230 before shrink your liver diet then I was 219 then when I came home after surgery because I was swollen I was 223 and now I am 214. My current insurance will not cover the revision because I was self pay 12 years ago. Most patients want weight loss surgery to improve health conditions associated with severe obesity including.

Revision bariatric surgery insurance coverage can vary. Large Group Plans Coverage depends on whether your employer has chosen to add it to your policy. Large Group Plans Coverage depends on whether your employer has chosen to add it to your policy.

With vagotomy Facility Only. To begin a request for a revision based upon a failed prior bariatric surgery is going to immediately invoke a response from most insurance providers questioning whether the prior surgery actually failed or the patient was simply not compliant with the requirements of the first surgery. Revision surgery to address perioperative or late complications of the original bariatric procedure.

Certain recipients who satisfy Medicares requirements for coverage of bariatric surgeries like the Roux-en-Y gastric bypass may also be covered for a revision with their Medicare benefits. To be eligible for coverage for the initial gastric bypass surgery medical records must show that a patient has been classified as morbidly obese for five years or more. Insurers increasingly recognize that obesity is a progressive disease and surgery or a revision procedure can provide a viable medical solution.

It is often considered an option whenever the primary gastric sleeve did not satisfy the patient. Gastric sleeve revision is a type of bariatric surgery. I can deal with losing 9 pounds in 6 days.

In the case of primary bariatric surgery as well as revision weight loss procedure which were once considered as purely elective surgeries the insurance companies are gradually willing to change their position. 43855 Inpatient only not reimbursed for hospital Revision of gastroduodenal anastomosis gastroduodenostomy with reconstruction. I eventually realized that it was time to look into a revision and I was so thankful that my insurance approved it.

Weight Gain After Bypass After getting a Roux-en-Y in Maryland you should experience weight loss that will speed up slow down and plateau at various times until you reach your ideal weightassuming you are maintaining a proper diet and exercise routine. I dont think most policies cover revision unless theres some sort of mechanical failure with the first surgery or if theres some medical issue like severe GERD. And some wont even cover things like that - I have a friend whos had horrible problems with her 10-year-old lapband the last couple of years constant vomiting etc and her policy refuses to cover a revision.

Ad Contact Our Responsive Insurance Advisors. To learn more about bariatric surgery insurance coverage and your weight loss surgery options take the next step by viewing our free online seminar and call to schedule a consultation at 888-686-6971 in Decatur and Fort Worth and the surrounding areas. At the same time insurance that covers bariatric surgery may not always be willing to dish out more money when you need a revision.

Generally if you are experiencing complications related to your original procedure youll be approved because of a medical need. When bariatric weight loss surgery revision is covered. Bariatric surgery insurance coverage varies by insurance policy.

Medicare and Medicaid Bariatric surgery is covered. IndividualFamily Plans. A bariatric procedure is not something most people can afford out of their own pockets.

IndividualFamily Plans. Coverage is required by the Affordable Care Act in some states. Insurance requires BMI over 40 or BMI over 35 with an associated co-morbidity or surgical revision due to.

They even said that if I was eligible for the revision I would still have to follow the 7 month protocol for the WLS. I didnt have their insurance at that time but they said that doesnt matter. Check My Insurance Tool.

Pdf Bariatric Surgery Insurance Requirements Independently Predict Surgery Dropout