Aetna Insurance for Laparoscopic Sleeve Gastrectomy Surgery in Texas

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Being obese not only lowers one's self esteem, it also makes people feel uncomfortable with their body image. Obesity is associated with a host of pathological conditions, from back problems, to heart disease, diabetes, cancer and even increased mortality rate.

Overweight or obese people can now consider a new medical intervention that stands high in importance and quality among other types of weight loss surgery—Laparoscopic Sleeve Gastrectomy in Houston, Texas.

What is Laparoscopic Sleeve Gastrectomy

Laparoscopic Sleeve Gastrectomy (LSG) or the Gastric Sleeve Surgery presents a unique solution to obesity and obesity related disorders. Through this process the capacity of the stomach is significantly decreased.

The stomach is reduced to a narrow tube and the large stretchable ‘bag’ part of the ”food bag” is done away with! Because of this, the patient experiences a sense of ‘having eaten his fill’ even after eating a small quantity of food. Moreover, this surgery reduces the concentration of stomach juices that create the feeing of appetite. This in turn cures food cravings and hunger pangs in the patient, making post operation diets easy and practicable.

Importantly, this surgery is done through a laparoscopic procedure which is carried out by placing a scope in a tiny incision made in the abdomen. As a result, this procedure causes less post-operative pains than non-laparoscopic surgical procedures that require a larger incision. Patients can go home within a day after the surgery. Returning to work too does not take more than seven to ten days!

In order to have this surgery, one needs to satisfy the following criteria:

  • Suffer from severe obesity for a minimum of two years (for adults only).
  • Present a documented medically supervised history of failed weight loss attempts.
  • Have high Body Mass Index along with other obesity related health problems like severe hypertension, sleep apnea, type II Diabetes Mellitus, high blood pressure, high cholesterol, cardiovascular diseases or other disorders that impair day to day activities.

Insurance Coverage for LSG

Aetna insurance now recognizes this surgery as a medical necessity for those suffering from chronic obesity related disorders. For covering the expenses of the surgery, Aetna insurance requires patients to undergo a multi-disciplinary surgical preparatory regimen (six months before the surgery) which can reduce the need of the surgery and consequently chances of surgical complications. This pre surgery regimen should include:

  1. Advice from nutritionist or dietician regarding the changes to be induced in dietary habits.
     
  2. Strict exercise regimen
     
  3. Session(s) on behavior changes
     
  4. Low calorie food regimen

For more information about the selection criteria that need to be met in order for LSG to be considered medically necessary click here.

Those interested in going for this surgical program, can consult their Aetna insurance representatives for details of the insurance plan. It is necessary to have a documented doctor/nutritionist supervised diet and exercise routine that has been followed for two years before the Laparoscopic Sleeve Gastrectomy surgery, to ensure Aetna insurance coverage.

Benefits of Gastric Sleeve

Laparoscopic Sleeve Gastrectomy (Gastric Sleeve) claims to have several benefits over other surgical weight loss procedures.

For one, there is no introduction of a foreign object—the Lap Band— in the abdomen. Therefore, the risk of slippage or erosion of the inserted object that would necessitate a second surgery is minimal.

Second, unlike Gastric Bypass Surgery, Gastric Sleeve does not restructure the intestinal setting. This reduces chances of ulceration in the abdomen, intestinal blockades and certain nutrient deficiencies.

Houston Surgical Specialists is a house of multi-physician practice that specializes in treating obesity related disorders in Texas. Obesity in all its forms (morbid, super, etc) are dealt with at this clinic by a multi-pronged approach starting from nutritionist-recommended diets to safe and medically proven surgical procedures that support and facilitate weight loss, based on the patient’s individual needs.

Thanks

Hey that's great. I had a surgery scheduled next month. This thing will help in my cause. My surgery is now under insurance.

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