Question:
is weight loss surgery considered an elective procedure
if you have some illness that will go away with weight loss is this surgery still considered elective.. — SHERRY M. (posted on August 10, 2002)
August 10, 2002
The majority of surgeons will not perform WLS unless you are 100 lbs.
overwieght and the insurance companies tend to have that stipulation of
"medical necessity" for them to cover it. In my opinion, a
surgery that is medically necessary is not elective. Could I survive
without WLS surgery? Yes, but the few "conditions" that I have
(and would possibly get later) would get worse the older and heavier I got.
So some may say that I am electing to have surgery, but in my opinion (as
well as my surgeon and insurance company), it is "medically
necessary". Make sense?
— karmiausnic
August 11, 2002
Yes, mine was consided elective. But it was covered by my insurance just
fine.
— Candi B.
August 8, 2003
Per Taber's Cyclopedic Medical Dictionary: "Elective: A treatment or
surgical procedure not requiring immediate attention and therefore planned
for the patient's convenience". My insurance does not cover elective
procedures BUT does cover gastric bypass if medically necessary. There are
quidelines that establish when WLS becomes medically necessary - BMI of 40
and above, or 35 with co-morbids that can eventually be life threatening,
etc. If you have a bmi of 35 with no co-morbids, its all elective. Losing
weight was necessary for me to achieve a certain level of health and
quality of life. Having my nose made smaller was not.
— Cera H.
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