Can you be denied coverage for gastric bypass if it is medically necessary?
It depends on the terms of the insurance. Read the coverage document to determine if it specifically covers the procedure in question.
If it is deemed medically necessary & your insurance co turns you down you have every right to appeal their decision!
AnswerIf its an exclusion of the policy then it doesn't matter if its medically necessary or not.
After getting your goal bladder removed do to gastric bypass what else I am I suppose to expect do to gastric bypass?
It depends on the bypass. If you are talking about a cardiac bypass, then it should be done as soon as possible if necessary. A cardiac bypass is necessary if an artery supplying blood to the heart muscle is blocked. If you are talking about gastric bypass, I believe that is solely a recommendation/optional surgery to assist in a weight-loss plan. So, in short, it depends on the bypass in question.
I live in California, and have done extensive research on this - Sates differ greatly though. My answer to Health net HMO in So Cal is, yes it does, stating on my contract "when deemed medically necessary". I have just seen my bariatric surgeon and he states this usually means BMI>40 or a BMI>35 with 2 co-existing diseases (weight related), such as diabetes 2, or high blood pressure. Ultimately, I think it may depend on…
Assuming you do not have insurance that would cover gastric bypass surgery, you could expect to pay about $25,000 out of pocket for all incurred expenses. However, this can be drastically reduced depending on your insurance coverage, your province, and financing options available through your surgeon.
Mini gastric bypass surgery is less invasive than traditional gastric bypass surgery. By using a laparoscope, the surgeon does not have to make any large incisions in the abdomen thus lowering the risk of large surgical scars or hernia. The procedure also differs from other gastric bypass procedures in significant ways. As opposed to the popular Roux-en-Y gastric bypass procedure, which staples the stomach to create a small pouch after which a Y-shaped section of…
Laparoscopic gastric bypass surgery differs from traditional gastric bypass surgery, because, instead of one long incision there are several small incisions, through which a laparascope connected to a camera may be inserted. This is thought to be advantageous, both cosmetically and for a faster recovery.