Qualifying for Surgery
Steps for qualifying
- Watch our online information session Watch online session
- Complete a pre-operative evaluation with the surgeon, a nurse specializing in cardiovascular risk reduction, a nutritionist and a psychologist.
- Receive prior approval from your insurance company
- Commit to our post-operative program and to long-term lifestyle changes.
- According to the National Institutes of Health (NIH) criteria, patients with a body mass index (BMI) between 35 and 40 are eligible for surgery if they have weight related co-morbidities, such as sleep apnea and diabetes.
- Also according to the NIH, Patients with a BMI over 40 are candidates, even if they do not have weight related co-morbidities.
- Your obesity must have persisted for at least two years.
- You have tried multiple medical weight loss attempts in the past five years.
- Your age is between 18 and 64 years (Over age 65 is evaluated on a case-by-case basis).
- You should not have untreated metabolic cause for obesity, such as thyroid or adrenal disorders.
- You should not have psychological or medical problems that would limit surgical success. Candidates with inpatient psychiatric admission within the past two years will be reviewed individually.
- You should not be drug, alcohol or tobacco dependent.
- If you are a current smoker, you must agree to quit and be smoke-free for a minimum of three months before surgery.
- If you have a history of substance abuse, you must be substance free for a minimum of two years.
- You cannot be pregnant and must be willing to postpone pregnancy for one to two years after surgery.
- Some health insurance companies consider bariatric procedures elective. For this reason you must obtain insurance approval for the surgery.
- For patients not covered by insurance, there are self-pay options.
- While many of the costs incurred during the evaluation process will be covered by insurance, some charges may become the responsibility of the patient.