Aetna Insurance Covers Houston Weight Loss Surgery - Gastric Sleeve

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People who suffer from morbid obesity (being overweight) can consider a new primary weight loss surgery known as the Laparoscopic Sleeve Gastrectomy (LSG), or the Gastric Sleeve Surgery in Houston, Texas.

Gastric Sleeve - weight loss surgery Houston, Texas

Patient's Stomach - Post Gastric Sleeve Operation

People with Aetna Insurance now have real options to deal with severe cases of being overweight.

People who suffer from morbid obesity can consider a new primary weight loss surgery known as the Laparoscopic Sleeve Gastrectomy (LSG), or the Gastric Sleeve Surgery.

Aetna Insurance now recognizes this surgical procedure as medically necessary under established criteria for those with chronic health problems related to obesity.

Gastric sleeve surgery is a minimally-invasive laparoscopic procedure done by placing a scope through small incisions made in the abdomen. This results in less post-operative pain than a traditional bariatric surgical procedure that requires a larger incision. Most patients can go home early the following day after a LSG.

Also, returning to work is much easier, and can usually be done within seven-to-ten days—and sometimes as few as three.

Weight-loss surgery criteria includes:

  •     An adult who as had severe obesity issues for at least 2 years
  •     A medically documented history of unsuccessful weight-loss attempts
  •     High body mass index (BMI) in association with other obesity related health problems: Cardiovascular disease, Sleep apnea, Severe hypertension, Type 2 Diabetes Mellitus, Significant impairment in activities of daily living.

Laparoscopic Sleeve Gastrectomy is a relatively new procedure devised for people who are severely obese and who may be suffering from serious medical problems because of the obesity (e.g. diabetes, high blood pressure, high cholesterol, etc). These people will get the best benefit from maximum weight loss.

The goal is to decrease the storage capacity of the stomach so the patient experiences a subjective feeling of fullness after consuming smaller amounts of food. The bariatric surgeon tapers the stomach into a narrow tube and large, stretchable part is removed.

According to Doctor Marvin, this Weight-Loss Surgery does more than just reduce the reservoir function of the stomach. It also alters the concentration of intestinal hormones, curbing the desire to eat. As a result of gastric sleeve the patient is literally less hungry, and post-operative dietary recommendations are easier to follow.

Aetna Insurance requires that patients participate in an organized multi-disciplinary surgical preparatory regimen within 6 months prior to the weight-loss surgery. The goal is to reduce the possibility of surgical complications and promote a successful outcome.

Activities must be documented and include:

  •     Behavior modification program
  •     Consultation with a dietitian or nutritionist
  •     Exercise regimen
  •     Reduced-calorie diet program

There are several advantages gastric sleeve has over other weight-loss surgeries for Houston patients. No foreign body (Lap Band) is placed into the abdomen, so there is no chance of slippage or erosion that might require a second operation. The intestine is not rearranged, as would be the case with Gastric Bypass surgery. Thus, there is minimal possibility of ulcer formation, small intestinal obstruction, or vitamin and mineral deficiencies. Houston Surgical Specialists report that the gastric sleeve operation has dramatically lower long-term complication and re-operation rates than Gastric Bypass.

Speak with your Aetna insurance representative to inquire about coverage details for Gastric Sleeve Operation. Note that you must have engaged in a documented physician-supervised nutrition and exercise program during the two-year period prior to the surgery to receive Aetna coverage.

Houston Surgical Specialists is a multi-physician practice that specializes in helping those who suffer from morbid obesity located in the great state of Texas. They approach weight loss with a wide range of treatment plans, including medically supervised diets, nutrition and vitamin plans, and all proven effective surgical procedures. They are recognized by the pre-eminent society of weight loss surgeons in the United States, and are one of the premier practices for obesity care in the Houston, Texas area.

Houston Surgical Specialists areas of service in Texas includes Houston, San Antonio, Austin, Beaumont, Lake Charles, Victoria, Corpus Christi, and Galveston.

Houston Surgical Specialists
3429 West Holcombe, Houston, TX 77025                                                
Toll free – 866.696.8660
Houston – 713.993.7124
Fax – 713.963.0476
Email: info(at)doctormarvin(dot)com

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