Saturday, April 13, 2024

Am I Eligible For Weight Loss Surgery

What Are The Risks For Bariatric Surgery

Ask a doctor: Who is eligible for weight loss surgery?

All surgical procedures have risks, particularly when the patient is morbidly obese. Different procedures involve different risks, and depending upon your individual circumstances, your risks may be higher or lower than average. Its also important to know that bariatric surgeons with more experience performing weight loss surgery techniques report fewer complications. Potential risks of surgery should be discussed with your surgeon so you can make an informed choice.

Will Insurance Cover Bariatric Surgery

Many insurance companies now recognize obesity as a substantial health risk and are paying for bariatric surgery. You can check our list of accepted insurers or contact your insurance provider to find out if gastric bypass surgery is a covered benefit under your insurance contract. If you have other questions, please contact Debra Cash at 216.445.1745 / 800.223.2273, ext. 51745.

What Are The Benefits Of Weight Loss Surgery

Weight loss surgery is a proven method for reducing weight and improving health in patients with clinically severe obesity.

  • Diabetes/Pre-diabetes
  • Osteoarthritis / joint pain
  • Mental health issues
  • Even reduce risk of certain cancers
  • Increased quality of life

Choosing bariatric surgery is a significant step that requires a long-term lifestyle commitment. Before we set your surgery date, we work with you to ensure you are prepared for the transition to a healthier you. But once you commit, you can begin losing weight after your very first appointment. We take the time to prepare you and teach you all the tools to be successful.

To get started, schedule a consultation to meet with a member of our team or call 570-886-9491 to learn more.

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Your Decision: What To Consider About Bariatric Surgery

Qualifying for bariatric surgery is only the first step. The decision to undergo bariatric surgery is complex and intensely personal, with many factors to take into account.

Your answers to the following questions may help you decide if surgery is a good option for you.

  • Have you been unable to lose weight or keep it off using nonsurgical methods such as lifestyle changes or medication?
  • Do you understand what the operation involves and its risks and benefits?
  • Do you understand the different types of bariatric surgery and which may work best for you?
  • Do you understand how your eating and physical activity patterns will need to change after you have surgery?
  • Can you commit to following lifelong healthy eating and physical activity habits, medical follow-up, and the need to take extra vitamins and minerals?
  • Have you considered the costs of the surgery and follow-up care?

Am I Eligible For Weight Loss Surgery

To be eligible for bariatric surgery, you should weigh roughly 100 lbs ...

Because weight loss surgery involves a major, permanent change to your body, there are certain criteria that must be met in order to obtain eligibility for one of these operations.

While these surgeries offer many benefits such as the reduction of weight-related health problems: type 2 diabetes, high blood pressure, heart disease, depression, high cholesterol, and sleep apnea there are risks involved as well. This is why health care teams must ensure a patient meets all eligibility requirements before a surgery is conducted.

Are You Eligible for Weight Loss Surgery?

In general, weight loss surgery is an option for you if you meet the following criteria:

  • Your body mass index is 40+,
  • Or your BMI is 35+ and you experience severe weight-related health issues ,
  • And past efforts to lose weight with diet and exercise have failed.

When the above guidelines are met, there is still more that needs to be done to determine whether you are a candidate for weight loss surgery.

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Are You Emotionally Prepared To Have Surgery

The decision to have weight loss surgery is a serious commitment. Even though bariatric surgery is life-changing for many patients, many patients have mental and emotional challenges during their recovery.

You must also be willing to do the following:

  • Attend these consultations:
  • Diet evaluation and education with a dietitian
  • Undergo medically supervised weight loss
  • Understand health risks during surgery
  • Commit to long-term follow-up care and recovery
  • If I Decide This Is Right For Me Whats The Next Step

    Should you choose surgery, our team will guide you through the weeks of testing and preparation that are required prior to surgery. You will also have access to AJH specialists who treat a full range of obesity-related illnesses, such as endocrinologists, pulmonologists and cardiologists. Our comprehensive program supports you through your weight loss journey, connects you with others who went through the program, and helps you stay on track after surgery, too.

    Patients will meet with our bariatric surgeon onsite at Anna Jaques Hospital after their initial consultation. Surgeries are performed at Lahey Hospital & Medical Center with all post-surgery appointments onsite at Anna Jaques Hospital and/or virtually with members of the Surgical Weight Loss team. Learn more about Weight Loss Surgery at Lahey Hospital & Medical Center.

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    About The Comprehensive Weight And Wellness Program

    Main Line Health’s Bariatric Center is part of our , which was established to address the disease burden of in our community. The program provides expertise in all evidence-based medical and surgical approaches to achieving a healthy weight, with a focus on helping patients reduce obesity-related health risks, improve overall health and quality of life, and commit to a healthy lifestyle.

    The Comprehensive Weight and Wellness Program is under the leadership of metabolic and bariatric surgeons and , and obesity medicine specialist . In 2019, the center welcomed , metabolic and bariatric surgeon.

    For more information or to schedule a consultation, .

    Interested joining us for an upcoming bariatric surgery information session?

    Do I Qualify For Weight Loss Surgery

    Considering Weight Loss Surgery

    Patients with the following BMI can be candidates for bariatric surgery*:

    • Your BMI is greater than or equal to 40
    • Your BMI is greater than or equal to 35 and you have weight-related medical problems that can include the following:
    • High blood pressure or heart disease
    • High cholesterol or high levels of fats in your blood
    • Breathing difficulty during sleep
    • Joint pain or arthritis

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    Do You Qualify For Weight Loss Surgery

    First, it is important to consider that most insurance companies will require about three to six months of a medically supervised weight loss program.

    Second, are you obese? The following criteria are based on Body Mass Index, or BMI, a tool that measures your body fat based on weight and height. If you fall into any of the following categories, weight-loss surgery may be right for you.

    • Body Mass Index of 40 or greater
    • 100 lbs. over ideal body weight for men and 80 pounds. over ideal body weight for women
    • BMI of 35 or greater

    Lastly, are you dedicated to changing the way you live your life and willing to commit to frequent follow-up and programs?

    The surgery is just the first step to an optimal weight-loss program, and patients need to be prepared for all of the work and commitment required by them after they have had the procedure.

    Other Issues To Address

    Even if you meet the BMI and comorbidity requirements, you might not qualify for bariatric surgery.

    You cant be pregnant or plan to become pregnant for at least a year. Substance-abuse problems, eating disorders or psychological disorders need to be identified as they may pose challenges achieving the best surgical outcome. Same with pulmonary or cardiovascular issues. Also, if your BMI is over 60, you might be required to lose some weight before surgery.

    We need to make sure your health is optimized, Mary said.

    The typical time frame from the first consultation to surgery would be about seven months, Mary said. That wait could be longer or shorter, depending on evaluations and how long it takes to adequately address your other issues.

    While a referral for undergoing bariatric surgery may not be required, if you meet the BMI requirement and believe you could benefit from surgery, talk to your OSF HealthCare primary care provider.

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    How To Calculate Your Bmi

    Those criteria start with your body mass index . BMI is a measurement of body size and combines a persons weight with their height to give an idea about whether a person has the correct weight for their height. Use this calculator to learn your BMI.

    A BMI of 30 and over is considered obese 40 and over is severely obese.

    In a nutshell, to qualify for bariatric surgery, you must have a BMI of 35 to 40 with an obesity-related disease, or comorbidity, like high blood pressure, diabetes, high cholesterol, osteoarthritis or sleep apnea, Mary said. Or, if your BMI is over 40, you would qualify with no comorbidities.

    Virtual Weight Loss Surgery Seminars

    The Expert

    Have you considered weight loss surgery and want to learn more?

    During this event you will hear from clinical experts and have the opportunity to ask them directly about options all from the comfort of your home. Our experts will discussing the following:

    • How effective weight loss surgery is for long term weight loss and health
    • The safety of weight loss surgery
    • What to expect from the team of multispecialty caregivers at Cleveland Clinics Bariatric and Metabolic Institute
    • The story of a patient and her weight loss surgery journey

    Registration is required. Select an upcoming session that works for you:

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    Qualifications For Weight Loss Surgery

    Inova follows eligibility requirements for weight loss surgery established by the National Institutes of Health .

    Individuals must have a body mass index of 40 or greater. In the presence of additional health risks, also known as co-morbidities, you may be eligible for weight loss surgery with a BMI of 35 or greater. This translates to being at least 100 pounds overweight.

    The presence of health risks, also called co-morbidities, include high cholesterol, high blood pressure, diabetes and sleep apnea, among others. All patients undergo a psychiatric exam to assure that they are emotionally able to work within the program guidelines after surgery.

    Overall Health And Lifestyle Qualifications For Weight Loss Surgery

    • You are more than 100 pounds overweight or have a body mass index of 35 or more. Your weight tells us about your current risk for other health conditions, such as high blood pressure. We also consider your weight-to-height ratio to determine which treatments would be most effective for you. The typical BMI for weight loss surgery is 35 or higher, though the requirement varies depending on additional criteria. Learn more about the treatments we offer.
    • Your health history includes obesity-associated conditions. Certain conditions, such as diabetes and heart disease, are often more difficult to fight when you are carrying a lot of extra weight. If you have one or more health conditions in addition to being overweight, you may qualify for weight loss surgery. Learn more about the obesity-associated conditions we treat.
    • You are between the age of 18 and 65 years old. Bariatric surgery is generally considered safe for adults ages 18 to 65. If you are younger than 18 or older than 65, there is a higher risk of surgical complications.
    • You live a healthy lifestyle or are willing to adjust your lifestyle. We consider lifestyle factors, such as whether you use tobacco. You must be willing to stop using tobacco to safely recover from surgery. Refraining from tobacco is also part of living a healthy lifestyle.

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    Am I Eligible For An Obesity Procedure

    There are internationally agreed patient criteria for performing weightloss surgery that are based on BMI measurements. The best way to find out if you are eligible for surgery is to make an appointment for an assessment with Dr Reza Adib.

    You may be eligible for the Gastric Sleeve procedure if you identify with one of the following conditions:

    • BMI of 35 and above, with or without associated obesity related illnesses such as back pain, diabetes, sleep apnoea, knee and joint problems, to name a few.
    • Patients who have tried supervised dieting programs & dietary education without success.

    However If your BMI is between 32-35, Dr Adib will carefully assess your medical history, age & your family history of obesity & associated serious illnesses. He will then consider your particular case before making a decision about your eligibility for surgery.

    You may be eligible for the Bypass if you identify with one of the following conditions:

    • BMI of 35 and above, with associated obesity related illnesses such as chronic reflux and diabetes .

    You may be eligible for an Orbera Balloon if:

    • BMI of 27 and above.
    • Patients who have tried supervised dieting programs & dietary education without success.

    I do not have private health insurance, can I still have a procedure?

    I do not have private health insurance, can I still undergo the Bypass?

    What should I do now?

    Do I need a referral to see Dr Adib?

    Yes you do require a referral to see any specialist. This can be obtained by your GP.

    Other Requirements & Prerequisites For Bariatric Surgery

    Lindsey Gets Approval for Weight-Loss Surgery! | My 600-lb Life
    • Does your insurance cover include weight loss surgery? Some insurance plans cover weight loss surgery while others do not. If you do have coverage, you may be limited to certain procedures. You may also need to meet several requirements, such as undergoing a psychological screening, before your surgery is approved. Learn more about the costs of obesity and bariatric surgery.
    • Have you previously attempted to lose weight without bariatric surgery? If you have not been able to lose weight on your own, your insurance may require you to try one more time with a physicians help. Our medical weight loss program includes personalized nutrition and exercise plans along with the support and encouragement you need to meet this requirement. Read more about medical weight loss.
    • How committed are you to adopting a healthier lifestyle? To qualify for weight loss surgery, you must demonstrate a commitment toward a healthy lifestyle. This commitment includes working to change your eating and exercise habits. We help you set realistic goals. Making steady progress toward these goals can help you qualify for surgery. Find out more about our nutrition and exercise programs.

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    Why Should Someone Consider Having Bariatric Surgery

    Obesity is harmful to a persons health. Someone who is 40 percent overweight is twice more likely to die prematurely than an average-weight person. In this country alone, about 300,000 deaths per year can be blamed on obesity. Obesity is a risk factor for many serious, life-threatening diseases, including:

    Studies show that the risk of death from these conditions returns to normal after weight loss. Within the first six months of having weight loss surgery, patients usually no longer need to take medications for these conditions. In addition, women who were struggling with infertility before surgery find that conception is possible after surgery.

    Who Is Eligible For Weight Loss Surgery

    According to the American Society for Metabolic and Bariatric Surgery , the qualifications for bariatric surgery include:

    • A body mass index greater than or equal to 40, or more than 100 pounds overweight. You can calculate your BMI here.
    • A BMI greater than or equal to one more more obesity-related comorbidities, such as: heart disease, stroke, high blood pressure, nonalcoholic fatty liver disease, sleep apnea, type 2 diabetes
    • Inability to achieve a healthy weight loss for a period of time

    Bariatric surgery is intended for individuals who plan to make lifestyle changes following the procedure. Patients may be asked for follow-up visits with a nutritionist, an exercise physiologist, and a mental health professional.

    If you’re interested in weight loss surgery, please call Dr. Katz at 1-866-823-4458.

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    How Much Weight Do You Have To Lose Before Weight Loss Surgery

    In general, you may be required to lose

    The cost of weight loss surgery ranges from $10,000 to $20,000. In some cases, it might be more or less than this amount.

    The exact cost depends on several factors, including:

    • the type of surgery
    • your specific needs

    Your health insurance may cover some or all of the costs. The amount youll need to pay out of pocket depends on your specific insurance provider and plan.

    Medicare covers some weight loss surgeries. Youll still need to meet certain requirements set by your Medicare plan. Visit the Medicare website to learn how to estimate your weight loss surgery costs.

    If youre thinking about getting weight loss surgery, talk with your primary care doctor. They can let you know whether youre a good candidate for the procedure.

    When talking with your doctor, consider asking the following questions:

    • Do I qualify for weight loss surgery?
    • How might weight loss surgery benefit me?
    • Are there any nonsurgical methods I should try first?
    • Do I have any health conditions that increase my risk of postsurgery complications?
    • Which type of weight loss surgery is best for me?
    • What does weight loss surgery involve?
    • What do I need to do before and after surgery?
    • How much weight can I expect to lose?

    If your insurance provider covers weight loss surgery, youll also need to meet certain guidelines. You may need to provide proof of:

    If youre not a good candidate for weight loss surgery, or if you dont want the procedure, there are some alternatives.

    Commit To Lifestyle Change

    Medicaid for Bariatric Surgery

    If you are serious about losing weight, you owe it to yourself to commit to the same guidelines.

    When you have bariatric surgery, its a lifestyle change, Mary said. The surgery is just a tool to help you lose weight. You still have to work at it make changes in your diet and exercise.

    Its like when you get into your car. You can put your foot on the pedal and steer, but you still have to put the key in the ignition and turn it on before you can go anywhere. Surgery is like the key in the ignition. You have to commit to the lifestyle change.

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