Weight Loss Surgery Requirements
Are You a Candidate for Weight Loss Surgery?For More Information
Your Body Mass Index (BMI) is a calculation that helps determine a healthy body weight based on your height. It is also used by insurance companies to determine if you are eligible for weight loss surgery coverage.
Weight Loss Surgery Eligibility
Insurance companies generally consider you eligible for weight loss surgery coverage if:
Your BMI is 40 or more OR
Your BMI is 35 to 40 AND you have a major health complication such as:
- Cardiovascular disease, including high blood pressure, high cholesterol, or significant heart disease
- Debilitating joint pain
- Sleep apnea
- Uncontrolled GERD or acid reflux
- Pulmonary hypertension
If your BMI is below 35, your insurance provider may deny coverage for weight loss surgery. We also know that this can change, as your weight varies over time based on where you are in the dieting cycle.
Learn more about obesity, surgery options, and our program at one of our free information sessions. They take place at our clinics in Durham, Raleigh and Burlington.
Other Weight Loss Options
We can evaluate your concerns and discuss your options.