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How long does it take bcbs to approve bariatric surgery

How hard is it to get approved for bariatric surgery?

You typically qualify for bariatric surgery if you have a BMI of 35-39, with specific significant health problems like Type 2 diabetes, sleep apnea or high blood pressure. A BMI of 40 or higher also is a qualifying factor.

How long is the wait 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.

Why do I have to wait 6 months for bariatric surgery?

Results indicated that the average wait time from the initial surgical consult to the actual procedure was approximately 7 months, with an overall range of 7 days to 5 years. About two-thirds of patients had to wait 6 months to receive surgery due to insurance requirements for preoperative weight loss.

What disqualifies bariatric surgery?

Your Body Mass Index (BMI). Suitable candidates will have a BMI of 40 or more OR a BMI between 35.5 and 39.9 AND obesity-related health problems. Though having a BMI of less than 35 does automatically exclude you from consideration, Dr.

How long does it take for insurance to approve weight loss surgery?

It can take two to four weeks for the insurance company to respond with a decision.

Do I have to lose weight before bariatric surgery?

Some patients are required to lose 10 percent of their weight before weight-loss surgery is performed. For other patients, losing just 15 to 20 pounds right before surgery is enough to reduce the risk of complications. It’s important to follow your surgeon’s pre-surgery diet and nutrition guidelines.

What tests are done before bariatric surgery?

2 – 3 Weeks Before Surgery

You’ll undergo specific blood tests, a chest x-ray, and an electrocardiogram (EKG). Your bariatric surgeon will answer any questions you have about these tests.

Why was Bariatric Surgery denied?

The primary reasons for rejection included a lack of insurance coverage, being medically unfit, psychological or social inappropriateness, and a body mass index (BMI) that did not meet the cutoff (BMI<35 kg/m2 or <40 kg/m2 without co-morbid conditions).

How can I get bariatric surgery fast?

We suggest 6 steps to fast-track insurance approval: 1) a multidisciplinary team; 2) 6-month diet; 3) comprehensive medical evaluation; 4) flexibility and consistency; 5) analysis of each patient indication; 6) quality of cost-effectiveness and long-term monitoring and benefits.
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