Does Florida Blue Cover Weight Loss Surgery

Introduction

Florida Blue covers several bariatric procedures, including the gastric sleeve or sleeve gastrectomy and the gastric bypass.

What are the requirements for bariatric surgery in Florida?

Insurance Requirements

Patient’s weight (BMI more than 40 or more than 35 with severe associated medical problems to qualify) List of medical problems associated with obesity, such as type 2 diabetes, sleep apnea, hypertension, etc. Number of years patient has been overweight (which should be at least five or more)

How much is weight loss surgery in Florida?

For most patients, the fee for outpatient gastric sleeve surgery will be $11,500.00 cash price (cost may increase depending on lender), although the specific cost for each patient may vary somewhat depending on the specific medical concerns for each patient.

How much is gastric sleeve surgery in Florida?

Following are the costs for each type of surgery: Lap gastric banding (includes five fills): $15,348. Gastric bypass: $18,348. Sleeve gastrectomy: $16,348.

How long do you stay in the hospital after having bariatric surgery?

Patients generally spend one to two days in the hospital following minimally invasive bariatric surgery.

What excludes from bariatric surgery?

Exclusion criteria for bariatric surgery age < 18 y or > 65 y.

A medical condition that makes surgery too risky.

Clinically significant or unstable mental health concerns.

An unrealistic postsurgical target weight.

Do you have to wait 6 months for bariatric surgery?

How long do I have to wait before having bariatric surgery? From the time of the initial consultation, the average wait time is 6–8 weeks. During this time, you will undergo preoperative testing to evaluate whether surgery is a suitable option.

What is considered medically necessary for bariatric surgery?

Medical guidelines

The surgery may also be an option for an adult who meets these three conditions: BMI of 35 or higher. At least one obesity-related medical condition. At least six months of supervised weight-loss attempts.

How heavy do you have to be to get gastric sleeve?

Appropriate candidates for a sleeve gastrectomy include individuals who: Have a BMI of 40 or more. (This usually translates to being overweight by 45.4 kilograms or more.)

How do people afford weight-loss surgery?

Fortunately, California is one of 23 states that require individual, family, and small group insurance plans to cover bariatric surgery through the Affordable Care Act. Most people can obtain coverage for bariatric procedures through their PPO or Medicare. Exhaust these possibilities as a first step.

Which weight-loss surgery loses most weight?

Fortunately, California is one of 23 states that require individual, family, and small group insurance plans to cover bariatric surgery through the Affordable Care Act. Most people can obtain coverage for bariatric procedures through their PPO or Medicare. Exhaust these possibilities as a first step.

Is it worth it to get weight-loss surgery?

“When multiple attempts at weight loss have failed, weight-loss surgery becomes worth it because its benefits far outweigh the chance of complications,” says Dr. Sherman. Like all surgical procedures, weight-loss surgery carries some risk. But that risk is low, Dr.

How long is recovery from gastric sleeve?

Gastric sleeve recovery at home

Takata says. Patients may resume more vigorous activities after four to six weeks. They must also follow a specific diet.” Patients are also advised to take three to four weeks off from work, depending on their job.

How much stomach do they take out for gastric sleeve?

This procedure is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen. During sleeve gastrectomy, about 80% of the stomach is removed, leaving a tube-shaped stomach about the size and shape of a banana.

Conclusion

How Long Will Surgery Take? The procedure itself takes about two hours. It is performed laparoscopically, so it requires only small incisions. Gastric sleeve patients typically remain in the hospital an average of one to two days.