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Sounds like it's "medically necessary" to me. You might also check the forums on the website called obesityhelp.

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Q: If loose skin after weight loss is causing sores and discomfort will insurance pay for surgery?
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Do most health insurance plans cover bariatric surgery?

Most insurance plans will only cover bariatric surgery if there is a medical need for it. This means if your excess weight is causing more serious health conditions.


What should you do to reduce your breast?

The breasts are mostly composed of fat so losing weight will generally help. You can also try different garments to decrease the discomfort. The only other method of true breast reduction is surgery. If the large breasts are causing symptoms, such as upper back pain, this often will be covered by insurance.


How Does Someone Pay For Weight Loss Surgery?

Whether or not insurance will pay for weight loss surgery depends on the provider and the State you live in. Most commonly insurance companies will pay around 80% of the surgery costs.


What are upmc insurance requirements for lap band surgery?

what are the weight requirments to qualify for the lap band surgery?


Are discounts provided with weight loss surgery?

No, the price is the same no matter what, but depending on your what insurance you have, they should help cover the cost of surgery.


Can surgery for weight loss be covered by insurance?

Yes, although it varies from state to state. Many public and private insurance companies also offer coverage to include gastric bypass surgery.


How to Pay for Weight Loss Surgery?

For many who desperately need it, the cost of weight loss surgery is a road block to having the operation. Fortunately, there are many options to pay for this surgery. Many insurance companies will cover most, if not all, of the costs for the procedure, but they may have requirements that must be met before they will authorize surgery. If the procedure is not covered by your insurance, you can also pay for weight loss surgery with a credit card or small loan taken out through your local bank.


What are my options for losing weight and what are their costs?

There are several options for weight loss surgery. From the Lap Band to the Gastric Sleeve. Again cost depends on you and what type of insurance coverage you have and what your insurance company will pay for. To get a general idea of what the cost is for this surgery the best place I have found is www.obeseinfo.com


How to Get Your Insurance Company to Pay for Bariatric Surgery?

Weight loss surgery can be extremely expensive, costing in the tens of thousands of dollars. Many insurance companies will pay for the surgery, but proving you need it can be a long and overwhelming process. Most insurance companies require documentation that you have tried other methods to lose weight unsuccessfully for at least six months prior to approving surgery. They will also require many reports and testing from your doctor, and frequently insist on a second opinion. Many weight loss surgery clinics have staff on hand to successfully help you navigate through the complicated hoops set up by insurance companies.


Avoiding Gastric Bypass Surgery Insurance Issues?

Whether or not your insurance will cover your gastric bypass can be a big issue for most people who need the weight loss help. Many companies have procedures in place that can help you avoid gastric bypass surgery insurance issues by doing everything with your doctor in the right order. Start by working with your doctor to lose weight through a traditional weight loss plan, and only consider the surgery if the plan fails to help. Usually, insurance companies want to see gastric bypass surgery approached as a last resort due to the high cost and risk of complications.


What is the cost of weight loss surgery?

Weight loss surgery is expensive and may or may not be covered by insurance. Gastric bypass ranges from $18,000 to $22,000 while gastric banding costs between $17,000 and $30,000.


Would insurance pay for weight loss surgery?

The first answer is correct inasmuch as it states that insurers will sometimes cover this surgery when it directly results in a health problem. However, the insurer will require medical documentation from a treating physician that surgery is the sole alternative. Keep in mind that there are many other ways to lose weight that may be effective in reducing the medical problem(s) caused by excess weight; the insurer may be willing to pay for those less invasive means more readily than for surgery. Also keep in mind. Furthermore, in many cases weight-gain is not a medical issue-instead, it is a behavioral issue. For that reason, the benefit of weight loss surgery may not be permanent if new behaviors are not instituted.