Bariatric Surgery Candidates
Qualifying for Bariatric Surgery
In order to be considered a candidate for bariatric surgery, a person generally has to be eligible by National Institute of Health guidelines established in 1991.
Patient must have a body mass index of 40 or greater OR patient must have a body mass index of 35 or greater with the presence of significant co-morbid conditions related to morbid obesity. Some of the co-morbid conditions are:
- Type II Diabetes
- Sleep Apnea
- Coronary Artery Disease
- Metabolic Syndrome (Syndrome X)
- Patient can show that dietary attempts at weight control have been ineffective
They might also require psychiatric evaluation, extensive physical examination and testing, and assessment by a registered dietitian. Check with your benefit manual for specific coverage criteria and feel free to call us and ask us any questions you may have. You may also see our Insurance Coverage page for some of the specific details required by some of the area’s major insurance carriers.
Most bariatric surgeons will agree that surgery is needed on anyone who has a BMI greater than 30 with the presence of several obesity related conditions. While this would seldom be covered by insurance, most surgeons will accept a self-pay candidate under these conditions.