Coverage Information
Coverage of treatment of Obesity & Morbid Obesity
 

Obesity is an excess proportion of total body fat. A person is considered obese when his or her weight is 20% or more above normal weight. The most common measure of obesity is the body mass index or BMI. A person is considered overweight if his or her BMI is between 25 and 29.9; a person is considered obese if his or her BMI is over 30.

Morbid obesity" means that a person is either 50%-100% over normal weight, more than 100 pounds over normal weight, has a BMI of 40 or higher, or is sufficiently overweight to severely interfere with health or normal function.

Weight can be controlled by life style modification or medications or curbed by different surgical modalities available.

Weight loss management modalities like dietician consultations, medications and surgeries are covered by Daman only for those plans with the specific benefit.
 
About this Adjudication Rule
Reference Number
2011-MN-0010
External Effective Date
01 March 2012
Version
1.0
Related Adjudication Rule
None

 

 

 

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