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When does insurance cover revision obesity surgery?

For a patient to qualify for reimbursement, most insurance companies currently require:
  • Presence of a medical complication of the initial surgery
  • BMI over 35 with a complicating health condition, notwithstanding the
          50% excess weight loss
  • BMI over 40, notwithstanding the 50% excess weight loss
For sclerotherapy, any individual who did not lose 50% of excess or regained 15% of what they lost can be usually considered for reimbursement.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.