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Do i need or can I get the sleeve im 5'0 i weigh 185.8 pounds my BMI is 36 so i was wondering if i could get the sleeve and would my insurance pay it what do you recommend that i do?

3 doctors weighed in
1 doctor agrees

In brief: You

You should see your family doctor to evaluate your overall medical conditions.
Body weight is not the entire means to determine a need for weight loss surgery. Sometimes diabetic conditions, severe arthritis, or heart problems can indicate a benefit from bariatric surgery. The individual types of surgery such as sleeve gastrectomy depend on what your doctor and your surgeon determine may or may not be indicated for your individual and specific conditions. I cannot speak for your insurance company, as many companies have many different and varied policies on what is or is not covered. Your family doctor may be able to help you find out what is covered by your insurance company.

In brief: You

You should see your family doctor to evaluate your overall medical conditions.
Body weight is not the entire means to determine a need for weight loss surgery. Sometimes diabetic conditions, severe arthritis, or heart problems can indicate a benefit from bariatric surgery. The individual types of surgery such as sleeve gastrectomy depend on what your doctor and your surgeon determine may or may not be indicated for your individual and specific conditions. I cannot speak for your insurance company, as many companies have many different and varied policies on what is or is not covered. Your family doctor may be able to help you find out what is covered by your insurance company.
Dr. Mark Hoepfner
Dr. Mark Hoepfner
Thank
Dr. Leon Katz
Bariatrics

In brief: Keep

Keep in mind that most of the insurance companies in United States followed the national institute of health criteria.
According to the nih criteria you need to have a bmi greater than 35 and also have a comorbidity such as sleep apnea, hypertension, or diabetes. Please keep in mind for patients who have have severe gerd, the sleeve gastrectomy could make this even worse so please discuss this with your bariatric surgeon.

In brief: Keep

Keep in mind that most of the insurance companies in United States followed the national institute of health criteria.
According to the nih criteria you need to have a bmi greater than 35 and also have a comorbidity such as sleep apnea, hypertension, or diabetes. Please keep in mind for patients who have have severe gerd, the sleeve gastrectomy could make this even worse so please discuss this with your bariatric surgeon.
Dr. Leon Katz
Dr. Leon Katz
Thank

In brief: This

This totally depends on your health insurance and your overall health status.
It is indicatedfrom a medical standpoint unless you have some contra-indication. It is particularly beneficialif you have a health problem caused by obesity. Many health insurance companies would coverthis procedure, while some companies will not. This is primarily based on whether your policy allowsfor bariatric surgery and if your health insurance allows the sleeve procedure for weight loss.You can find out by calling your health insurance company and asking if this is a covered benefiton your policy. If they say no, then there is an exclusion and few options for you. If they sayyes or "if medically necessary", then you can go forward and see a bariatric surgeon to determineif the procedure may be right for you and if it can be determined to be medically necessary. Best regards, ejd eric j. Demaria, md (www.Drericdemaria.Com) medical director new hope wellness center providing total bariatric care (www.Newhopewellnessnc.Com) crossfit exchange.....Raise the bar! (www.Crossfitexchange.Com) a unique multi-specialty facility providing comprehensive care for overweight and obese people specializing in lifelong care after bariatric surgery 9910 strickland rd, suite 100 raleigh, nc 27615 (919) 861-6366 main number (919) 861-6367 fax number.

In brief: This

This totally depends on your health insurance and your overall health status.
It is indicatedfrom a medical standpoint unless you have some contra-indication. It is particularly beneficialif you have a health problem caused by obesity. Many health insurance companies would coverthis procedure, while some companies will not. This is primarily based on whether your policy allowsfor bariatric surgery and if your health insurance allows the sleeve procedure for weight loss.You can find out by calling your health insurance company and asking if this is a covered benefiton your policy. If they say no, then there is an exclusion and few options for you. If they sayyes or "if medically necessary", then you can go forward and see a bariatric surgeon to determineif the procedure may be right for you and if it can be determined to be medically necessary. Best regards, ejd eric j. Demaria, md (www.Drericdemaria.Com) medical director new hope wellness center providing total bariatric care (www.Newhopewellnessnc.Com) crossfit exchange.....Raise the bar! (www.Crossfitexchange.Com) a unique multi-specialty facility providing comprehensive care for overweight and obese people specializing in lifelong care after bariatric surgery 9910 strickland rd, suite 100 raleigh, nc 27615 (919) 861-6366 main number (919) 861-6367 fax number.
Dr. Eric Demaria
Dr. Eric Demaria
Thank
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