How long does it take aetna to approve gastric sleeve surgery

Does Aetna pay for gastric sleeve surgery?

Aetna doesn’t offer any individual health plan that covers bariatric surgery. Most Aetna group HMO and POS plans exclude coverage of surgical operations, procedures or treatment of obesity unless approved by Aetna.

How long does it take to get approved for weight loss surgery?

The entire process, from consultation to surgery, generally takes about six months to complete. It often depends on you and your insurance requirements.

How long does it take for insurance to approve gastric sleeve surgery?

two to four weeks

What does Aetna require for bariatric surgery?

Consideration for bariatric surgery is generally warranted only when adolescents have experienced failure of 6 months of organized weight loss attempts and have met certain criteria: severe obesity (a BMI of 40) and severe co-morbidities, or super obesity (BMI of 50) and less severe co-morbidities that may be remedied …

Which weight loss surgery is best?

The study found that gastric bypass surgery boasted the greatest weight loss — both short- and long-term. But that procedure also had the highest rates of complications in the month following surgery. “There are trade-offs. Bypass is more effective for weight loss, but has a greater risk of short-term complications.

What is the safest form of weight loss surgery?

Gastric Banding

This the simplest and safest procedure of the bariatric surgeries. The weight loss is lower than the other surgeries, however. Also, individuals with gastric banding are more likely to regain weight in the long run.

What is Candy Cane syndrome?

Candy cane syndrome is a rare complication reported in bariatric patients following Roux-en-Y gastric bypass. It occurs when there is an excessive length of roux limb proximal to gastrojejunostomy, creating the possibility for food particles to lodge and remain in the blind redundant limb.

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How much do you have to weigh to get stomach surgery?

To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40).

How long do you have to be off work after bariatric surgery?

As a guideline, both open and laparoscopic gastric bypass and sleeve surgery patients have about a 2-3 week recovery period, (although some can take as long as 6 weeks) before they can return to work. Open surgery patients generally take longer.

How can I get my insurance to pay for gastric sleeve?

Getting Your Insurance to Pay for Weight Loss Surgery

Most major insurance companies will require: Proof that surgery or medical intervention is medically necessary. Your surgeon can help provide your medical history and documentation of your weight-related health problems.

How can I get weight loss surgery fast?

Guidelines to qualify for gastric bypass surgery

  1. Efforts to lose weight with diet and exercise have been unsuccessful.
  2. Your body mass index (BMI) is 40 or higher.
  3. Your BMI is 35 or more and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea.

How long does it take to get the sleeve surgery?

How long does the gastric sleeve surgery take? The actual procedure in the surgery room will take around 90 minutes to 2 hours.

How can I pay for bariatric surgery without insurance?

Thankfully, there are six financing options available to help make the cost more manageable.

  • Secured medical loan. According to Bariatric Surgery Source, one common source of financing is a secured medical loan. …
  • Hospital payment plan. …
  • 401(k) loan. …
  • CareCredit. …
  • Health savings account. …
  • Personal loan.
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Does Aetna cover skin removal after weight loss?

Introduction. Aetna plans exclude coverage of cosmetic surgery that is not medically necessary, but generally provide coverage when the surgery is needed to improve the functioning of a body part or otherwise medically necessary even if the surgery also improves or changes the appearance of a portion of the body.

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