Age 22, 295lbs, 6'4 - would I qualify for a gastric bypass covered by insurance?

Question

I’m a 22 year old female, my current weight is 295 pounds and I’m 6 foot 4 inches

Jorge Maytorena, MD · Answer

In the United States, with that body mass index, it is very difficult for medical insurance to approve you for weight control surgery. However, in Mexico, with the same body mass index of 35, you are already a candidate for gastric sleeves, the new guidelines ASMBS all patients over 30 are candidates for weight loss surgery

Ali Solmaz, MD · Answer

Based on your details&mdash;22 years old, 6’4” in height, and weighing 295 pounds&mdash;your Body Mass Index (BMI) is approximately 35.9. Insurance coverage for gastric bypass surgery typically follows the criteria set by the National Institutes of Health, which generally approve surgery for patients with a BMI of 40 or higher, or a BMI of 35 and above if there are significant obesity-related health conditions such as type 2 diabetes, hypertension, or sleep apnea.
With a BMI of 35.9, you may qualify for coverage if you have at least one of these related health conditions. If you do not have any comorbidities, many insurance providers might not approve the procedure, though this can vary depending on your policy and your state. Other factors, such as documentation of prior weight-loss attempts, a psychological evaluation, and medical clearance, are also part of the approval process.
I recommend reviewing your insurance policy and consulting with a bariatric surgeon, who can evaluate your overall health and assist with the insurance process. While your BMI places you in a potential eligibility range, a formal consultation will give you the most accurate answer for your individual situation.

Pablo Garcia, MD - Account Suspended · Answer

Hello, hope you are well. Based on the metrics you provided, your calculated BMI would be 35.9, which means you qualify for bariatric surgery, most likely a gastrc sleeve. However, there are other factors that need to be taken into acount, like comorbid diseases, for example Diabetes. For this reason it is preferable for you to be evaluated by a certified bariatric surgeon. Hope this answer was helpful. Please dont hesitate to contact us if any other questions arise.

Michael F. Sedrak, MD - Account Suspended · Answer

In general, insurance companies provide coverage for weight loss surgery if BMI is greater than 40, or if bmi is between 35 and 40 if there are weight related comorbid conditions.

Age 22, 295lbs, 6'4 - would I qualify for a gastric bypass covered by insurance?

Answers (4)

More Gastric Bypass Questions

Bloating and pain in left side after Gastric Bypass - is this normal? (photos)

Do I qualify for bariatric surgery?

Had gastric bypass 15 years ago and now have sudden (3 month) 30lb weight gain - what is the cause?

What would cause stomach bloating 20 years after a gastric bypass?

Nausea after eating 10 years after gastric bypass. Is this common this far out from surgery?

If marijuana is legal in Ohio, why must I stop consuming it before bariatric surgery?

WE SEND PRETTY
EMAILS