Does Aetna better health cover bariatric surgery sprue is a very critical question for those who want to apply for these operations. When it comes to health and wellbeing, Aetna Better Health takes a holistic approach. Their understanding of health extends beyond the physical. To help you stay healthy, not only while you’re sick, should be the goal of a health plan. What you want out of life in terms of health In order to make the most of your life, this insurance’s goal is to help you accomplish each and every one.
What Is Aetna Better Health? : Does Aetna Better Health Cover Bariatric Surgery
Experienced in addressing a wide range of health care requirements for more than 30 years. When it comes to health, Medicaid plans have shown that providing the appropriate support at the right time is crucial In order to help its members find the proper coverage, services and care, Aetna Medicaid plans provide information and assistance.
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Does Aetna Better Health Cover Bariatric Surgery?
Most Aetna HMO and QPOS healthcare plans do not cover surgery, procedures or bariatric surgery unless approved by Aetna. In some Aetna policies, surgical treatment of obesity is not covered at all. RYGB, sleeve gastrectomy, or laparoscopic adjustable silicone gastric banding (LASGB) are all considered medically necessary by Aetna when the listed selection criteria is met.
Aetna Better Health’s Selection Criteria For Bariatric Surgery
Adolescents and adults over 18 years of age must have chronic severe obesity documented in contemporaneous clinical records. A body mass index (BMI) of more than 40 was measured before to preoperative preparation program, or a BMI greater than 35 was measured prior to the preoperative preparatory program.
Cardiovascular illness that is objectively documented, such as obstructive sleep apnea or coronary heart disease Aside from that, medically refractory hypertension (systolic blood pressure more than 140 mmHg or diastolic blood pressure greater than 90 mmHg) or Type 2 diabetes mellitus or nonalcoholic steatohepatitis are also included (NASH).
The presence of obesity with significant co-morbidities in teenagers who have finished their bone development (usually at age 13 for girls and 15 for boys):
Unhealthy body mass index (BMI) more than 40 with at least one of the following Type 2 diabetes mellitus or obstructive sleep apnea that is clinically severe. No alcohol-related steatohepatitis (NASH).
Medically refractory hypertension, dyslipidemias, nonalcoholic steatohepatitis, or venous stasis illness are all examples of this.
Bariatric Surgery in Children and Adolescents
Obesity surgery recommends for those above the age of 18 years old typically. Children and teenagers are developing fast and are thus more susceptible to long-term nutritional deficits caused by obesity surgery’s decreased food intake and malabsorption. The advantages of obesity surgery in children and adolescents may exceed the higher risks, although this is not yet understood.
In the opinion of a panel of specialists, bariatric surgery may be an acceptable therapy for extreme obesity in teenagers who have finished their bone development. Prospective patients should send to facilities that have multi-disciplinary weight management teams. With the competence in managing the particular requirements of overweight teenagers, according to suggestions from the expert group.
Adolescents should only consider for bariatric surgery if they fail six months of organized weight loss efforts and meet certain criteria. These are severe obesity and severe co-morbidities, or super obesity and less severe co-morbidities that remedy with weight loss; and reach skeletal maturity.
As a result, surgery should only conduct in institutions that have the capability of collecting long-term data.
What Is Bariatric Surgery?
As obesity becomes more prevalent across the world, it refers to as the “disease of old age” . Hence, it can have life-threatening consequences.
The use of bariatric surgery is a successful therapeutic option when diet and exercise alone are ineffective in the treatment of obesity.
Bariatric surgery is an effective and permanent treatment option for patients with serious health problems. Just like Type 2 diabetes or sleep apnea linked to obesity. Bariatric surgons apply individuals who are obese . Many of the risk factors associated with obesity can minimize. According to research,if people adopt a healthier lifestyle by prioritizing good eating in their daily routines.
How Is Bariatric Surgery Performed?
Surgery for weight loss; Weight reduction can achieve restricting the amount of food you eat, lowering the absorption of nutrients. Additionally, combining both effects and altering the digestive system.
On one side, certain bariatric procedures limit nutrient absorption and reduce caloric intake due to alterations in the intestines. Its also allowing patients to feel full more quickly and consume less food/drink than before. It’s important to note that several of the other bariatric surgical procedures have mixed effects, meaning that they both restrict.
What is the Role of a Dietitian in Bariatric Surgery?
Among severely obese people, bariatric surgery is the most efficient way to keep weight off. Patients should assess before to surgery by an interprofessional team general surgeon, endocrinologist/nutritionalist, psychologist, etc. In order to achieve a lasting and satisfactory outcome from bariatric surgery. Again, this team should be in charge of post-operative follow-ups.
Pre and post-bariatric surgery monitoring, diet-relate nutrition program formulation and nutritional status evaluation are all responsibilities of the dietician.
As part of this, it examines the patient’s prior lifestyle and detects errors and nutritional issues. Most essential is the post-operative follow-up. To increase the success of bariatric surgery, a post-operative diet is critical. It demonstrates in studies that patients who engage with a nutritionist after surgery achieve greater and more.
The patient returns to his daily life within the first week after the operation. At the end of the second week, he can walk at a slow pace. At the end of the first month, they can start exercises such as walking, jogging and swimming, provided that they do. In the following period, they can increase their exercises, provide that they are not heavy.