Unless stated otherwise on your policy, Humana does not cover weight loss surgery. There is a Bariatric Management Team at Humana. You can get help with your weight loss surgery from the Bariatric Management Team. For up-to-date medical information, the Team is available.
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How do I get approved for weight loss surgery?
If you have a body mass index greater than or equal to 40 and a waist-to-hip ratio greater than or equal to 1.5, you can be eligible for weight–loss surgery. Have a history of diabetes, high blood pressure, heart disease, stroke, cancer or other serious medical condition that could affect your ability to lose weight. If you have any of these conditions, talk to your doctor about whether weight loss surgery is right for you.
Your doctor may recommend that you meet with a dietitian to help you develop a healthy eating plan. You may also want to talk with your health care provider about any medications you are taking, including prescription and over-the-counter medications. Talk to the doctor before starting any new diet or exercise program to make sure you understand the risks and benefits of any changes you may be making.
Why is weight loss surgery not covered by insurance?
Although you may meet certain criteria for medical necessity, your insurance isn’t required to cover it. Insurance will not consider you for coverage if weight loss surgery services are listed as an exclusion.
Does Humana Gold cover Weight Watchers?
All Humana members in qualified employer-sponsored health plans now have free and discounted access to Weight Watchers through an integrated wellness program built into their health plan, giving them more control over their food choices.
“We are pleased to be able to offer this benefit to our members, and we look forward to continuing to work with them to ensure they have the best possible health care options available to them,” said Dr. David A. Himmelstein, president and chief executive officer of the American College of Cardiology, in a statement.
Is Humana a health insurance?
Humana offers a wide range of healthcare-related individual insurance products.
What is the newest weight loss surgery?
Endoscopic sleeve gastroplasty is a newer type of minimally-invasive weight–loss procedure. A suturing device is inserted into your throat and stomach. The endoscopist places the sutures in your body. The procedure is usually performed in a hospital, but it can also be done at home. You’ll need to be on a strict diet for the first few weeks after the procedure to help your body adjust to the weight loss.
Can you get gastric bypass at 200 lbs?
Although some unscrupulous doctors may operate on such people, American Society for Bariatric Surgery guidelines say patients should have a body mass index above 40 and a waist circumference of at least 105 inches.
“It is important to note that BMI and WC are not the same thing,” the guidelines state. WC is measured from the navel to the deepest part of the buttocks.
How many pounds overweight for gastric sleeve?
You must be between 16 and 70 years of age and morbidly obese to be eligible for the surgery. You must also have a body mass index (BMI) of 30 or higher. If you are under 18 years old, your parent or legal guardian must consent to your surgery. If you’re 18 or older but under the age of majority in your state or country of residence, a court order is required.
What is the safest weight loss surgery?
Gastric Banding is the simplest and safest procedure of the surgeries. The weight loss is less than the other surgeries. People with gastric banding are more likely to be obese than people without it. Bariatric Surgery This is the most common type of surgery performed in the United States.
It involves removing the stomach and intestines and replacing them with a metal tube called a biliopancreas, which is inserted through a small incision into the abdominal wall. This procedure is done under general anesthesia, and it can take up to a year to recover from the surgery.
After the operation, the patient will need to follow a strict diet and exercise regimen for the rest of his or her life.
How long is recovery from gastric sleeve?
The stomach staple line can take up to eight weeks to heal. Most people are well on their way to recovery after one month of regular exercise.
Why was Bariatric surgery denied?
A lack of insurance coverage, being medically unfit, psychological or social inappropriateness, and a body mass index that did not meet the criteria for Obesity were some of the primary reasons for rejection. The study, published in the Journal of the American Medical Association (JAMA) Internal Medicine, is the first of its kind to examine the prevalence of overweight and obesity among U.S. adults.
“The prevalence and magnitude of obesity has increased dramatically over the past two decades,” said lead author Dr. David Ludwig, an associate professor of medicine at the University of California, San Francisco. “Obesity is now the leading cause of preventable death and disability in this country. We need to do more to prevent and treat obesity and its associated health problems.” .
Is weight loss surgery ever medically necessary?
Weight loss surgery has always been considered medically necessary by insurance. Weight loss surgery is performed to improve the quality of life of the patient. Weight Loss Surgery in the U.S.