Obesity is a significant health issue in Turkey, much like in the rest of the world. The increasing prevalence of obesity in society, along with the additional health problems it brings, has substantially raised healthcare expenditures. In Turkey, patients who meet specific criteria can receive free obesity surgeries at state hospitals that have specialized obesity centers, covered under the Social Security Institution (SGK). However, to qualify for surgery in state hospitals, patients must successfully complete a rigorous six-month training period known as the Obesity Academy. Given the nearly 20 million obese individuals in the country, state hospitals may struggle to meet the demand for these services.
Private Hospitals and Obesity Surgery
Patients who meet the necessary criteria can also undergo obesity surgeries in private hospitals by paying additional fees. To perform obesity surgeries in private hospitals, it is essential that the healthcare facility has an intensive care unit capable of managing any potential complications internally. This ensures patient safety and efficient handling of any post-operative issues that may arise.
Private Health Insurance Coverage
Currently, private health insurance does not cover obesity surgeries. Given the budgets that insurance companies allocate for obesity-related additional health issues, it is more likely that obesity surgeries will be included in the coverage scope in the future. It is expected that private insurance companies will re-evaluate this matter in the coming years to potentially include coverage for obesity surgeries.
Non-Surgical Treatments and Insurance
One of the most effective non-surgical treatment methods, the intragastric balloon application, is not covered by either state or private health insurance. Patients seeking non-surgical options must bear these costs out-of-pocket.
Criteria for SGK Coverage of Sleeve Gastrectomy Surgery
For obesity surgeries to be covered by SGK, individuals must meet the following criteria:
- Body Mass Index (BMI):
- A BMI of 40 or higher.
- Alternatively, a BMI of 35 or higher accompanied by obesity-related comorbidities such as diabetes or hypertension.
- Medical Evaluation:
- Candidates must undergo a comprehensive evaluation by a panel of specialists, including experts in internal medicine, endocrinology, psychiatry, and general surgery.
- The panel must certify that the patient is suitable for surgery based on their overall health status and specific medical conditions.
Additional Considerations
- Training Program: Completion of the six-month Obesity Academy training program is mandatory for patients seeking surgery in state hospitals. This program ensures that patients are well-prepared for the surgery and committed to making necessary lifestyle changes post-operation.
- Limited Capacity: Given the high number of obese individuals in Turkey, state hospitals may face challenges in providing timely surgeries to all eligible patients. This limitation underscores the importance of private healthcare facilities in meeting the demand, albeit at an additional cost to the patient.
- Future Prospects: As obesity continues to be a growing health concern, there is an anticipation that private insurance coverage for obesity surgeries may become more prevalent. Patients are advised to stay informed about changes in insurance policies and consult with their insurance providers for the most current information.
Recommendations for Patients
When considering obesity surgery, patients should:
- Evaluate Both Costs and Benefits: Understand not only the financial costs but also the quality of care, the expertise of the surgeon, and the post-operative support provided by the healthcare facility.
- Consider Comprehensive Care: Look for hospitals that offer comprehensive post-operative services, including dietitian follow-ups and psychological support, to ensure a successful and sustainable weight loss journey.
- Research and Consultation: Consult with Dr. Güven Görkem and his team or fill out the contact form on our website to receive personalized advice and determine the most suitable treatment option based on individual health status and weight-loss goals.
Disclaimer: This information is intended for educational purposes only. Always consult a qualified healthcare provider for personal medical advice, diagnosis, and treatment regarding obesity or other health concerns.
