does iehp cover weight loss surgery

Understanding IEHP’s Weight Loss Surgery Coverage

Does IEHP Cover Weight Loss Surgery?

Yes, IEHP offers coverage for weight loss surgery under specific conditions.

Eligibility and Criteria

To qualify for IEHP’s weight loss surgery coverage, you must meet the following criteria:

  • Body Mass Index (BMI) of 40 or higher
  • BMI of 35 or higher with obesity-related health conditions (e.g., heart disease, diabetes)

Types of Weight Loss Surgery Covered by IEHP

IEHP covers a range of weight loss surgery options, including:

  • Gastric bypass: This involves creating a small stomach pouch and connecting it directly to the small intestine.
  • Gastric sleeve: This involves removing a large portion of the stomach, creating a smaller stomach.
  • Lap band surgery: This involves placing an adjustable band around the stomach to create a smaller stomach pouch.

The Weight Loss Surgery Approval Process

To get approval for weight loss surgery with IEHP, you’ll need to follow these steps:

  1. Consult with a Qualified Surgeon: Schedule a consultation to discuss your weight loss surgery options.
  2. Gather Medical Records: Provide medical records showing your past weight loss attempts.
  3. Submit for Approval: Send all required documents to IEHP for review.
  4. Pre-Approval Requirements: If approved, you’ll need to complete requirements like nutrition counseling and an exercise program.
  5. Surgery: Have the surgery performed at an accredited facility by a qualified surgeon.
  6. Post-Operative Care: Attend follow-up appointments and participate in support groups.

Alternative Options for Weight Loss with IEHP

For those not eligible or preferring not to undergo surgery, IEHP offers alternative options:

  • Medically Supervised Diets: These plans provide tailored meals and guidance from healthcare professionals.
  • Behavioral Therapy: This therapy helps address the underlying causes of weight gain and develops coping mechanisms.

IEHP’s Support for Your Weight Loss Journey

In addition to covering surgical and alternative options, IEHP offers support resources:

  • Healthcare Professionals: Dietitians and behavioral therapists can provide guidance and support.
  • Support Groups: Connect with others on the same journey.
  • Online Tools: Access resources and track your progress online.