Get Weight Loss Surgery Qualifications

I feel this patient would benefit from weight loss surgery because (he/she) has been unsuccessful losing weight with other diet methods, and (his/her) medical conditions will become life-threatening if (he/she) does not get help getting (his/her) weight under control. I appreciate your consideration for approval.

Weight loss surgery qualifies for Medicaid, Medicare, and most major insurance plans. Before scheduling your initial appointment, the office staff will check with your insurance carrier about the benefits coverage and the associated the weight loss surgery cost.

But why might a patient not qualify for bariatric surgery? BMI: First and most obviously, they simply may not have a BMI that is high enough. A BMI of 35 or more with one or more obesity related conditions or BMI of 40 or greater regardless of obesity related conditions is required to have surgery.

Qualifications for Weight Loss Surgery You are more than 100 pounds overweight or have a body mass index (BMI) of 35 or more. ... Your health history includes obesity-associated conditions. ... You are between the age of 18 and 65 years old. ... You live a healthy lifestyle or are willing to adjust your lifestyle.

People with a Body Mass Index (BMI) of 40 or greater, or approximately 100 pounds over their ideal body weight. People who have a BMI between 35 and 40 and at least one significant obesity-related health condition, such as sleep apnea, diabetes or heart disease, may also be candidates for surgery.

The patient has a family history of weight-related ailments including [Medical conditions such as obesity, hypercholesterolemia, and diabetes.] I hereby request pre-authorization for bariatric surgery to include [Mr./Ms./Mrs.] [Patient Last Name's] policy benefits and coverage. Thank you for your consideration.

To be eligible for weight-loss surgery, you must meet the following requirements: Have a body mass index (BMI) of 35 or higher, or have a BMI between 30 and 35 and an obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.

Typically, the Letter of Medical Necessity will list the patient's BMI, how many years the patient has been morbidly obese, any participation in a medically supervised weight loss program, prior attempts at weight loss surgery and comorbidities (health problems associated with obesity).

I feel this patient would benefit from weight loss surgery because (he/she) has been unsuccessful losing weight with other diet methods, and (his/her) medical conditions will become life-threatening if (he/she) does not get help getting (his/her) weight under control. I appreciate your consideration for approval.