Am I A Candidate?
Mid Louisiana Surgical Specialists
3311 Prescott Rd Ste 201
Alexandria, LA 71301
Phone : 318-442-6767
Email : Click Here To Email Us
Our forms require Adobe Reader. If you have trouble viewing the forms, please Click Here to download the FREE Adobe Reader application.
Am I a Candidate for Bariatric Surgery?
Making the decision to undergo bariatric surgery to lose weight and improve or eliminate many of the diseases associated with obesity is not always as straightforward as it seems. Even if you feel that bariatric surgery is right for you, it is major surgery and not everyone is a suitable candidate for surgical intervention.
Rules of Thumb
Generally, as a rough guide, if you are 100 pounds or more over your ideal body weight, you may be a candidate for surgery. You can also use a Body Mass Index, BMI, calculator to determine whether or not you are obese or overweight. You must be obese to qualify for bariatric surgery. If your BMI is over 40 you are considered morbidly obese and you may qualify for surgery. You may also qualify if your BMI is 35 to 39 and you have one or more of the diseases associated with obesity including type-2 diabetes, high blood pressure, high cholesterol, sleep apnea and more. It is important to keep in mind that the BMI calculator is not an exact predictor of suitability for bariatric surgery. It does not take into account body frame, gender or age, and as such, only you, your primary physician and your bariatric surgeon can make the final decision as to whether you qualify for bariatric surgery.
Physical and Psychological Preparation:
Even if you are over 100 pounds above your ideal body weight and your BMI falls into a qualifying category you will still need to undergo physical and psychological tests to ensure that bariatric surgery is indeed the safest option for you. Lifestyle and dietary changes after your procedure are significant, and you will have to be able to cope with the changes that you will be experiencing after surgery.
Insurance Requirements and Qualifications
If you intend to finance all or part of your weight loss surgery procedure through insurance, your provider may have several requirements that you must meet before they allow a surgical claim to be approved. These requirements vary widely between insurance companies, but may include proving a track record of failed diet and exercise attempts. Documentation may be needed for up to six months or longer. Patients may even need to have undergone and failed a medically-supervised weight loss program. You will also need a letter of medical necessity, which serves to tell the insurance company that surgery is indeed necessary for reasons beyond aesthetics. You will need to have your primary physician and our office send a letter of medical necessity to your insurance company in order to qualify.
Please remember that bariatric surgery is not an aesthetic or cosmetic procedure, rather it is an important tool to help you improve your health and live a longer and happier life.