What is considered medically necessary for weight loss surgery?
Bariatric surgery may be an option for individuals who: have a body mass index of at least 40, or. have a body mass index of at least 35 along with an obesity-related health condition, such as heart disease, sleep apnea, or diabetes.
Are you put to sleep for Lap-Band surgery?
The actual Lap-Band procedure is relatively straightforward and quick. You’ll be placed under general anesthesia to ensure that you’re fully asleep during the operation.
Who is not a good candidate for weight loss surgery?
But why might a patient not qualify for bariatric surgery? BMI: First and most obviously, they simply may not have a BMI that is high enough. A BMI of 35 or more with one or more obesity related conditions or BMI of 40 or greater regardless of obesity related conditions is required to have surgery.
How long is the downtime for lap band surgery?
The procedure with the shortest recovery time is lap band surgery. On average, lap band surgery patients return to work in one week and are fully recovered in just two weeks. Hospital stays times often reflect this too – lap band patients with just 1-2 days and bypass/sleeve patients 2-4 days.
Who is not a good candidate for weight-loss surgery?
What are the requirements to get weight loss surgery Humana?
Humana’s Pre-approval Requirements 1 Body mass index of 40 or higher. 2 OR a body mass index of 35 to 39 with at least one comorbidity that may include: 3 A letter from your Primary Care Physician recommending weight loss surgery. 4 6 months of a physician supervised weight loss program. 5 At least 18 years of age. 6 (more items)
What is the minimum BMI for lap band surgery?
Patients’ results and experience may vary. The Lap-Band System is indicated for weight reduction for patients with obesity, with a Body Mass Index (BMI) of at least 40 kg/m2 or a BMI of at least 30 kg/m2 with one or more obesity-related comorbid conditions.
What are the requirements to use the lap-band?
To ensure that you can lose weight safely with the Lap-Band, you need to meet the following qualifications: Have a Body Mass Index (BMI) that is at least 40 kg/m² or you have a BMI of at least 30 kg/m² with one or more obesity-related comorbid conditions
What are the pre approval requirements for Humana insurance?
Humana’s Pre-approval Requirements. Humana requires the criteria below be met or exceeded in order to cover weight loss surgery. Body mass index of 40 or higher. OR a body mass index of 35 to 39 with at least one comorbidity that may include: Hypertension. Type 2 Diabetes. Severe Sleep Apnea. Joint Disease.