Q&A: How overweight do I have to be to consider the gastric banding or the gastric bypass surgery?
posted on 4/28/2014
Ask A Doctor Question:
I am just wondering how overweight do I have to be to consider the gastric banding or the gastric bypass surgery and how much will the insurance company will pay of this? - Cheryl
In order to qualify for Bariatric surgery, you have to have a BMI over 35 with at least one co- morbidity, like Diabetes, or hypertension. Or, a BMI over 40 without.
BMI is Basal Metabolic Index, a calculation of weight divided by height, squared. Normal BMI is 18-25. There are charts available to find your BMI. It is about 75-100 lbs over ideal body weight.
You also have to be a good candidate for surgery and have a good understanding of how it works. Patients get a lot of education so they know what they need to.
Insurance covers the surgery if it is a benefit of the plan. Same as any surgery. There are also cash prices if patients do not have insurance.
--Keith Norton Marshall, DO
Bariatric surgery criteria are based upon standards of height versus weight, or what we calculated called a body mass index or BMI. BMI ranges above 35 generally will qualify for surgery under most health plans. The amount of coverage will vary based on your particular policy.
--Laura L. Machado, M.D., F.A.C.S.
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