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Manual: IU Health Plans Department: Medical Policy # PA.040.IU Effective Date: 01/01/2015 Supersedes Policy # ___/or Last Review Date: 09/10/15Indiana University Health Plans, Inc. Medicare AdvantageMedicaidCommercial ExchangeMarketplaceBariatric Surgery Members with an eligibility date on or before 5/01/2011 are grandfathered in.Policy Indiana University Health Plans, Inc. considers Bariatric Surgery medically necessary for the following indications: Bariatric Surgery

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Bariatric surgery is a medical procedure aimed at helping individuals with obesity lose weight by making changes to their digestive system, often through procedures that reduce the size of the stomach.

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The purpose of bariatric surgery is to facilitate significant weight loss in individuals struggling with obesity, reducing the risk of obesity-related health issues such as diabetes, heart disease, and hypertension.

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Information that must be reported for bariatric surgery includes patient medical history, BMI, weight loss goals, comorbidities, psychological evaluations, and any prior weight loss attempts.

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