Insurance


 

Bariatric Surgery Insurance

The Bariatric Experts accepts most major insurance carriers. Bariatric surgery insurance coverage varies by company and policy and involves different requirements. You should contact your insurance carrier to learn whether bariatric surgery is a covered benefit and what your specific policy requirements might be. If you aren’t sure what kind of bariatric coverage your insurance offers, we can help—simply fill out our free insurance check form.

Although, some health insurance plans do offer coverage for bariatric surgery, they often impose strict

requirements such as a lengthy supervised diet plan or medical history that can create a lengthy wait
before surgery. Some patients with insurance choose to self-pay because they feel it puts them in better
control of their health. Please see our self pay information as we recognize that many insurance plans
do not offer adequate coverage.

 

Preparing for Approval

Most insurance companies will ask for in-depth, comprehensive documentation relating to your previous weight loss attempts. We advise you to gather the following information:

  • medical documentation of a five-year weight history
  • any actual documentation of diet drugs and medically supervised diets prescribed
  • records of commercial diet programs you have tried (Weight Watchers, Jenny Craig, etc.)
  • records of any exercise programs you have tried (YMCA/YWCA, gym membership, etc.).

You will need to begin gathering these records now so they are readily available when we initiate communication with your insurance company for your bariatric surgery. It is not enough for you to simply list these items – the insurance company will require official documentation.

You will need to contact the doctor who weighed you and/or prescribed weight loss drugs for a copy of that documentation. A summary letter of dates, weights, prescribed medications and supervised diets from that doctor is acceptable. You may need to contact commercial diet program offices and exercise facilities for records if you do not have these.

Getting Approval

Some insurance companies will make the decision about your weight loss surgery within a few weeks. Some insurance carriers take several weeks or months to return a decision. We will contact you when we have heard from your carrier. In addition, you may contact your insurance company to check on the status of your insurance approval.

If you still have any questions regarding bariatric surgery insurance coverage, give us a call at 940-577-2090 to speak with one of our patient advocates.

 

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