Bypass Surgery, Heart and Gastric By Pass Information


Gastric Bypass Insurance

August 12, 2008 by admin in Gastric with 0 Comments

If you’re looking into gastric bypass, insurance providers may or may not cover the operation. The sad fact is that many insurance policies have an “exclusion” on gastric bypass surgery. What this means is that, even though the surgery may be deemed medically necessary, the policy simply will not cover the operation.

Fortunately, there are several groups working to combat this injustice and pass laws and regulations that would have all insurance policies covering medically necessary gastric bypass surgery, but the day when we will see complete coverage for bariatric patients is still in the future. Until then, all we can do is look into our insurance policies and see if we’re covered. Luckily, you do have options.

Switching policies

There is of course the chance that your new policy might not cover obesity surgery, either. Look into a policy before signing up to make sure you’ll be covered for medically necessary gastric bypass surgery.

Switching to a spouse’s policy

Many insurance providers offer shared coverage for married couples, so you may be able to switch to a spouse’s policy, assuming that their policy does, in fact, cover obesity surgery.

Private financing

If you cannot afford to finance the surgery on your own dime, it may be possible to take out a loan or find a sponsor. Assuming your insurance policy might be willing to cover gastric bypass surgery, they may require you to first provide some information.

Diet report

This would include a detailed history of your diet in the past (as well as you can document this) as well as a report on what you’ve been eating lately, your current eating and snacking habits, etcetera.

Body statistics

This would include your current height and weight, as well as your body mass index, or BMI.

A psychological evaluation

Some insurance companies will insist upon a psychological analysis to judge your emotional and mental stability before going through with gastric bypass surgery (which, to be honest, can be emotionally trying).

Medical History

As thorough as possible, most insurance companies will require a well documented medical history before approving a gastric bypass operation.

All of the above will be in addition to a variety of medical tests and evaluations. To know exactly which tests you will need to have conducted, talk with your insurance company and inform your doctor. Perhaps one of the main reasons gastric bypass insurance can be somewhat hard to come by is that the operation has an unfortunate stigma as being unnecessary, as if it were a quick fix for lazy people. Of course, this isn’t the case. Gastric bypass surgery is a last resort for people suffering from severe, even life threatening problems with obesity. It is not something people normally go through for vanity or to improve their body image, rather, it is for one’s long term health and to prolong one’s life.

Many insurance companies, unfortunately, do not see it that way. If you are battling severe obesity and feel that you need gastric bypass surgery in order to live life to its fullest, you should look for an insurance company that understands your needs, one that is geared towards people struggling with obesity. The right insurance company can be the greatest ally for a person suffering from morbid obesity, but the wrong insurance company can be the greatest stumbling block. Know your policy, talk with your insurance company and your doctor, and try to subscribe to an insurance policy that is right for you, one that will cover your needs.

Luckily, even if you are initially denied approval for a gastric bypass operation, you still have the option of appealing the denial. In some cases, this can result in your denial being overturned. If your carrier persists in denying your coverage, you may seek legal assistance. If at all possible, try to find coverage, by any means necessary.

Leave a reply

Your email address will not be published. Required fields are marked *


* Copy This Password *

* Type Or Paste Password Here *

Recent Photos
  • Heart Bypass Surgery: Triple, Quadruple, Complications, Recovery
  • Coronary Artery Bypass Graft Surgery
  • Triple Bypass Surgery
  • Aortobifemoral Bypass Procedure
  • Laparoscopic Gastric Bypass -2
  • Laparoscopic Gastric Bypass -2
  • Jessica Mueller: It's been a year ago as of June 6 I had gastric bypass. I'm 36 with what the doctor calls a brain injury and Wernikies. My esophagus closed and my body was depleted of vitamins for over 30 days because no one could figure out what was wrong. My roommates called 911 because I wasn't responding, I almost died. After being in the hospital I was moved to a rehabilitation hospital and then I was moved to a Neuro recovery home. I'm home now still trying to learn balance and my memory is slowly coming back,I keep a notebook to write my daily events in. Just wanted to share View Post
  • Manju Chakraborty: I am 59 years old housewife. I had a CABG in January, 2013. Three arteries were bypassed. This January the symptoms were repeated. I had undergone CAG. I have been advised for a repeat CABG for main two arteries. What are the risks involved in the operation within 14 months ? What precautions should be taken ? View Post
  • Mr. B: I am one week out of surgery. They do not keep you in the hospital anymore. I was in for 4 days total. They should let you know in this story that it will hurt to have the tubes taken out, and the wire pulled out. At least they do give you a couple of days between when they do these things. After these tubes,wires are pulled out you start feeling better and get your appetite back. A lot of the pain and discomfort is in the leg they take the vein from, and the ribs are sore from being spread apart. I will keep you updated as time goes by, but be prepared for these things. View Post
  • Chassie: Thanks for the information, now I can cope better with all the aformentioned problems better. I had the surgery for other reason than obesity in 2006; and I am smaller and had to undergo change of life style. But the side effects tend to be overwhelming, so I turned to the Web; now I follow all the recommendations given to reduce these side effects. View Post
  • Donna Lawrence: I had my surgery 3 months ago and I have a hard time some times eating I have nausea alot before I eat no matter what I eat why? View Post
Please note that we don’t guarantee correctness and accuracy of any of the information published in this website. The information published in this website cannot constitute professional medical advice. Always seek a physicians help for diagnosis and treatment of your medical problems.