Have you struggled with your weight for a long time and remain frustrated with not seeing results?

For many people, diet and exercise aren’t getting the results they need. If weight loss surgery is a solution you are willing to consider, how do you know if you will qualify? And almost as importantly, how do you know if your insurance will cover it?

Here is some basic information to help you get started as you consider the possibility of weight loss surgery.

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Prerequisites for Bariatric Surgery

1. Documented efforts to lose weight with traditional exercise and diet procedures have been ineffective for achieving substantial long-term results.

2. One of the following applies to you:

  • Your body mass index (BMI) is 35 to 39.9, and you also have weight-related health issues such as diabetes, sleep apnea, or high blood pressure
  • Your body mass index (BMI) is 40 or higher

The Evaluation Process at Our Clinic in Everett, WA

An experienced team of medical professionals including a doctor, dietitian, bariatric surgeon, and psychologist will evaluate your overall health and determine whether weight loss surgery is a good option.

They will factor in your current BMI, and will also examine your eating habits, exercise regimen, stress level, diet attempts. We will also consider your medical history, and verify that you don’t have any other conditions that could be threatening to your health after surgery such as blood clots, heart disease, kidney issues, or liver disease.

You will also need to undergo lab testing as well as a full physical exam and a psychological exam.

Determining Whether Your Insurance Will Cover It

Once you have determined that you are medically able to undergo weight loss surgery, you’ll need to find out if your insurance will cover it. Look closely at the benefits page of your insurance policy and pay particular attention to limitations and any exclusions there may be. Note important dates and understand how the payments or claims process works.

Additional Options, Even if Insurance Denies You

If surgery is not covered, you may need to present the company owner or the human resources department with information and stats on the surgery and how it will directly affect you by making you a better employee. If you do this, there is a chance that your company will work with you to help you get the surgery by offsetting the cost.

Your health is very important and taking steps toward a healthier you is one of the best decisions you can make. Talk to your medical team and insurance professionals today to see if you are a candidate for weight loss surgery.