8/17/2012
During this surgery procedure, the left side of the stomach is removed
Almost 40 percent of the U.S. adult population is obese, according to the U.S. Centers for Disease Control, and these individuals face increasing health problems such as type 2 diabetes, heart disease, cancer and potential stroke.
One of the potential weight loss resolutions for those who have been struggling with obesity for several years and continue to be overweight despite diet and exercise efforts is gastric sleeve surgery. While Medicare, the government health program for those over the age of 65, has not covered the cost of the this surgery procedure in the past, this is changing and provides an excellent option for those who meet requirements.
About Gastric Sleeve Medicare
Medicare is a government health insurance program offered to those over the age of 65 as well as individuals with certain disabilities. The insurance covers most medical costs, including doctor's visits, lab fees, hospital costs and some surgeries.
The Centers for Medicare and Medicaid Services (CMS) ruled on June 27, 2012, that Medicare for gastric sleeve surgery is possible for clinically obese patients, but they must meet the following requirements:
• Body Mass Index (BMI) over 35
• More than one health condition related to obesity
• Other obesity-related treatments have been unsuccessful
The CMS also ruled that they will not extend gastric sleeve Medicare across the entire country, so it is up to local offices to determine if they will extend Medicare for gastric sleeve coverage to the patient. While the CMS has approved Medicare coverage for other weight loss surgery procedures - gastric bypass, Roux-en-Y and adjustable gastric band - the gastric sleeve procedure was not approved because of many questions remained on the benefits vs. risks involved for older patients. However, with the new ruling, Medicare coverage can be approved by local agents on a case-by-case basis, which is a major breakthrough for bariatric procedures and obese patients in the U.S.
About Gastric Sleeve Surgery
During this surgery procedure, the left side of the stomach is removed to create a much smaller stomach size, generally the shape and size of a banana. The stomach is not reconnected or rerouted and therefore the gastric sleeve surgery is typically less complicated than the gastric band or bypass surgery.
The stomach also functions normally after the surgery, which means that there are fewer restrictions on the type of food possible for post-surgery patients. However, the patient needs much less food than before to feel full and satisfied, partially because many of the hormones that indicate hunger are eliminated through the surgery.
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