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Laparoscopic Sleeve Gastrectomy Surgery
Discussion in 'All Categories' started by Purna Chandra Sekhar Rao - Jan 4th, 2012 10:50 pm.
Purna Chandra Sekhar Rao
Purna Chandra Sekhar Rao
Sir,
I have undergone Laparoscopic Sleeve Gastrectomy Surgery for control
of Morbid Obesity, Type 2 Diabetes, Hypertension and Coronary Artery
Disease. Our department did not reimbursed the amount citing the
reason that the surgery comes under Cosmetic Surgery. I have seen a
posting in Expressindia dated Feb 23, 2009 at 1221 hrs IST in which it
was stated that "It is not a cosmetic surgery. It reduces weight as
much as 70-100 kg. It is a life-saving surgery like a heart or
coronary-bypass," said Dr Pradeep Chowbey, secretary general of Asia
Pacific Bariatric Surgery Society (APBSS) and president of Obesity
Surgery Society of India (OSSI). " Kindly clarify whether the surgery
comes under cosmetic or not and also provide necessary information.
re: Laparoscopic Sleeve Gastrectomy Surgery by Dr M.K. Gupta - Jan 4th, 2012 11:28 pm
#1
Dr M.K. Gupta
Dr M.K. Gupta
Dear Purna Chandra Sekhar Rao

The surgical treatment of morbid obesity is a covered benefit under many insurance policies but you have to take prior authorization. Coverage depends on what type of policy you have and the terms within the policy.

Each insurance policy can vary greatly, even when issued by the same company. Your employer dictates the coverage in your policy. At Bariatric Surgery Specialists, if you have the benefit and meet the requirements, we WILL get you approved from insurance company.

If you have not taken the authorization from the company before you can not claim for it and it will be difficult to fight because obesity surgery is not an emergency surgery.

With regards

M.K. Gupta
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