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    <title>Insurance barriers holding back timely metabolic surgery: Survey</title>
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    <description>Insurance administrative and informational barriers are delaying bariatric and metabolic surgery despite regulatory inclusion; surgeons report under utilisation from low awareness, high out of pocket costs, complex paperwork, and slow approvals. Reform priorities include streamlining approval processes, expanding eligibility and covered comorbidities, lowering BMI thresholds, increasing awareness, and reducing financial barriers to align insurance practice with the medical necessity of metabolic surgery.</description>
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