Are You a Candidate for Bariatric Surgery?
Most insurance companies base their criteria on the following NIH Guidelines:
- BMI of 40 or greater
- BMI of 35-40 with significant co-morbidity (one or more chronic conditions that puts you at increased risk for health problems or premature death, such as diabetes, hypertension, obstructive sleep apnea, heart disease, etc.)
- BMI 30-35 with comorbidities (in select cases)
- Documented unsuccessful dietary attempts
Most candidates for bariatric surgery are between the ages of 18 and 70, however, at South Mississippi Surgical Weight Loss Center we will consider candidates as young as 16.
What is Body Mass Index (BMI)?
BMI is a measure used to index a person’s height and weight. BMI allows healthcare professionals and patients to better understand health issues associated with a specific weight classification (classifications such as obesity and morbid obesity).
What is a co-morbid condition?
There are two definitions for a co-morbid condition: the presence of one or more disorder or disease in addition to a primary disorder or disease; or, the presence of a disorder or disease that is caused by or otherwise related to another condition in the same patient.
Below is a list of common comorbidities of morbid obesity that are accepted by most major insurance carriers.
- Sleep Apnea
- High Blood Pressure
- High Cholesterol
- Type 2 Diabetes
Will Your Insurance Cover Bariatric Surgery?
Insurance benefits and criteria for weight loss surgery vary greatly by plan and by employer. South Mississippi Surgical Weight Loss Center would be happy to discuss your specific case with you. To reach them, call 228.872.7277 between 8:00 a.m. and 5:00 p.m. Monday through Friday. Self-pay pricing is also available upon request by phone or in person. We also offer multiple third-party financing options on our Payment Option (linked) page.Below is a current list of insurance plans accepted by South Mississippi Surgical Weight Loss Center. Please check with your provider to confirm you have an eligible plan.
- Blue Cross Blue Shield (BCBS)
- Mississippi Physicians Care
- First Health
- United Healthcare
Please call our office for information on the following.
- Cash Pay Pricing
- Out-of-Network Benefits
- Medical Necessity
- Employer Authorization
- State Employees
- Non-Surgical Weight Loss Options
For More Information about Weight Loss Surgery
Call our Bariatric Coordinators at (228) 872-7277 or take your first step by Watching an Online Seminar