Does Kaiser Benefits Cover Weightloss Surgery?

Does Kaiser Benefits cover weightloss surgery? In 2017, the Ministry of Health put out a circular about how to handle obesity cases. In August 2018, they made a 50-page protocol. With this procedure, it has been made clear what conditions will be looked for in patients who want to have bariatric surgery. As a result of the protocol, which was made by looking at all of the world’s treatment recommendations, information was given about the patients who should be operated on, the side effects that should be watched for, and how to treat these side effects. The first and most important step in treating obesity is making sure it doesn’t happen. This kind of prevention should start when a child is young, and healthy eating and regular exercise should become habits.

Even with the help of an internist and a dietician, the problem of being overweight may not go away. In this case, surgery may be needed. Don’t be afraid to ask for help from a professional when you need to. First of all, the person must have been obese for at least three years, must not be addicted to drugs or alcohol, and must be within the range of acceptable surgical risk.

A person who is going to have bariatric surgery shouldn’t have an active mental disorder. Even though there are no age limits, surgery is safer for people between 20 and 60 years old. Surgery should be your last resort if you want to lose weight. Obesity surgery should be done when a person’s health starts to get worse because they can’t lose weight despite hormonal imbalances, haven’t been able to lose weight with other treatments, or are gaining weight again.

How Does Does Kaiser Benefits Cover Weightloss Surgery?

Surgical treatments for obesity can be broken down into procedures that limit how much food a person can eat, limit how much food a person can absorb, or do both. In restrictive operations, the amount of food that goes into the stomach and the amount of food that the person eats both go down. In order to absorb as few nutrients as possible, part of the gut skips over processes that limit absorption. Depending on the type of surgery, the patient will eat less each day and their intestines will absorb food more slowly. Because of this, the person loses weight quickly. But for bariatric surgery to help people lose weight for good and for a long time, they must. The patient must be aware that he has had a major operation and continue to eat and exercise after the procedure.

The two most common types of bariatric surgery today are gastric bypass (also called stomach bypass) and sleeve gastrectomy (also called tube stomach). These procedures can be done laparoscopically through small cuts. With fewer cuts and less pain, this method makes surgery safer and less painful. During the first part of gastric bypass surgery, the size of the stomach shrinks. This limits how much food the patient can eat. Also, a part of the small intestine isn’t working right. Since food is moving through the small intestine faster, less nutrition is being absorbed. This surgery should be the first choice for people whose diets and eating habits are high in calories. Because these patients tend to eat small amounts of foods that are high in calories. 

How Does Gastric Sleeve Surgery Work?

It’s possible that methods that just limit how much you eat might not help you lose enough weight. In Sleeve Gastrectomy (Tube Stomach) surgery, the big side of the stomach is cut and taken out. This makes a stomach tube. With this method, both the amount of food eaten and the level of “Ghrelin,” which is made in the stomach and is known as the “hunger hormone,” drop, giving the person a feeling of being full. So, patients may lose weight quickly while their natural digestive systems stay the same. Kaiser Weight Loss Surgery

Before a few years ago, gastric bypass surgery was the most common way to end a surgery in the United States. But because sleeve gastrectomy surgery is easier and has the same effects as bypass surgery, it has become the most common surgery in the world and in our country. The length of the procedure will depend on what kind of surgery is done, how fat the patient is, and how skilled and experienced the surgical team is. Gastric sleeve surgery usually takes between 60 and 90 minutes. Also, it takes 20–25 minutes to get the person ready for surgery and put them to sleep. After the surgery, it took another 20 to 25 minutes to wake up the patient. When gastric bypass surgery is done, this time may be much longer.

Gastric Bypass

Laparoscopic gastric bypass surgeries are expected to cause about 70% of patients to lose weight after two years. In sleeve gastrectomy, it is about 60%, and the patient’s behavior after the surgery is very important to the total amount of weight loss. After surgery, a person’s ability to lose weight depends on how well they stick to the diet and exercise plan. We usually tell people who have had bariatric surgery to take it easy at home for 15 days. If the person is a desk worker, he will be able to go back to work in 15 days. Before starting sports or jobs that require a lot of physical activity, it is best to wait about 30 days.

After bariatric surgery, most people lose weight for 1.5 to 2 years. In some cases, people can lose extra weight in as little as a year before the procedure is over. Balanced eating and exercise are the most important parts of healthy weight loss and staying at a healthy weight after surgery. But your long-term success also depends on how well you follow all the rules that are set up for you. To keep from gaining back the weight you lost, you must change the way you eat. Adopt a healthy, well-balanced diet and work out often. Don’t get in the way of post-operative exams, stay motivated, and get psychological help if you need it. Does Kaiser Permanente Cover Bariatric Surgery

Risks Of Bariatric Surgery

Bariatric surgery has risks, just like any other major surgery. Standard risk factors include the patient’s general health, the technology in the hospital, and the skill of the surgical team. Bleeding, leaks in the staple line (called “anastomosis leaks”), lack of iron, calcium, vitamin D, and vitamin B12, and problems with nutrition. The most common risk of weight loss surgery is getting gallstones. After all laparoscopic bariatric operations, you can go back to open surgery and have some parts of your body sag.

Does Cigna Cover Weight Loss Surgery with Every Policy?

 

Cigna does cover weight loss surgery, including but not limited to gastric bypass and lap band procedures. However, the amount of coverage depends on the individual plan, which will determine the answer to “does Cigna cover weight loss surgery with every policy they offer?” Depending on the individual policy, coverage may include pre-operative testing, hospitalization, and post-operative care.

Before any procedure is scheduled, it is important to check with your insurance carrier. Whether it is Aetna or Cigna, asking questions like “does Aetna cover weight loss surgery?” is needed in order to determine what type of coverage and out-of-pocket expenses are applicable for each patient. Understanding your policy and making sure that any necessary steps are taken beforehand can help to ensure that you receive maximum benefit from your insurance coverage.

By following these guidelines and working closely with your insurance provider you can maximize the potential for successful weight loss surgery outcomes. Ultimately, Cigna’s mission is to focus on providing comprehensive coverage and cost savings options so that patients have access to quality healthcare. Familiarize yourself with your policy details and get an answer to “does Cigna cover weight loss surgery with every policy?” in order to fully take advantage of all available benefits.