There are a number of widely accepted criteria which can make a patient a candidate for bariatric or weight loss surgery. Different insurance companies often have different conditions for bariatric coverage, which may be dependent on BMI and other health conditions. Your insurance carrier can tell you the specific requirements of your plan. Below is a general guideline for bariatric candidates for gastric sleeve and gastric bypass:
- Over the age of 18
- Reasonable prior attempts at other weight loss techniques
- A capacity to understand the risks and commitment associated with the surgery
- Pregnancy not anticipated in the first two years following surgery
For those utilizing insurance coverage:
- BMI above 40
- BMI between 35.0-39.9, often also requiring documented medical co-morbidities including but not limited to: Type 2 Diabetes, High Blood Pressure, and Sleep Apnea
For self pay patients:
- BMI above 33 (without the need for documented co-morbidities)
Use the BMI calculator to determine your BMI. If your BMI is 33 or above you may be a candidate for bariatric surgery. It's best to determine your suitability for weight loss surgery in conjunction with our trained staff. Call your insurance carrier to determine their eligibility requirements for bariatric coverage (if any). Please call Dr. Shillingford's office at to determine if you are a candidate, and how we can best help you achieve your weight loss goals.
Body mass index (BMI) is a screening tool used by doctors and insurance companies to measure body fat based on height and weight. It helps categorize men and women over the age of 20 into different categories that can indicate a higher risk of developing serious health conditions such as heart disease, diabetes, high blood pressure, osteoarthritis, stroke, mobility issues, sleep apnea, and at least 10 different types of cancer. Weight loss can help improve your health and lower the risk of many life threatening health conditions.
Use the calculator to determine your BMI.
BMI Calculator
BMI Category
< 18.5 | Underweight |
18.5-24.9 | Normal weight |
25.0-29.9 | Overweight |
30.0-34.9 | Obese |
35.0-39.9 | Severely obese |
> 40 | Morbid obesity |