Bariatric Surgery Insurance Coverage
We know insurance can be confusing and sometimes intimidating, especially bariatric surgery insurance. At My Bariatric Solutions®, we work diligently for approval of your weight loss surgery from your insurance company. Let us be on your side during this life changing process.
How the Process Works
Each insurance company has requirements that must be met prior to bariatric surgery. Our insurance specialist will meet with you during your consultation and discuss these requirements. We will assist you with obtaining any current documentation and records that you may already have. If further documentation, testing or non-surgical attempts at weight loss are needed we will assist you in meeting these requirements.
For those whose insurance may require a supervised weight loss program to meet their requirements for bariatric surgery, we are excited to offer a comprehensive, multidisciplinary program. Our Insurance Specialist will be available to assist you with enrolling in this program.
When all of the insurance criteria are met, we will submit your documentation to your insurance company for bariatric surgery approval. You will be scheduled for surgery upon insurance approval. If your case is denied by insurance we will help you in the appeals process.
Items to Collect for Your Insurance Company
- Medical documentation of your weight history
- Documentation detailing the use of diet drugs or medically prescribed diets
- Records indicating participation in a commercial diet (Jenny Craig® and Weight Watchers®, for example)
- Records indicating participation in an exercise program (gym memberships or intramural sports leagues)
- Records indicating monthly visits with your Primary Care Physician in regards to weight loss attempts
Insurance companies will require official documentation before they are willing to subsidize or cover the costs of bariatric surgery. If you are missing documentation, you may be able to obtain copies from your physician or the commercial weight loss programs you have participated in.
Upon receiving the required documentation, our Bariatric Surgery Insurance Specialist at My Bariatric Solutions will review the material to ensure that it meets the guidelines outlined by the insurance company and send a letter of recommendation to your provider, recommending bariatric surgery for your continued health. At My Bariatric Solutions, we will work diligently for approval from your insurance provider. We are committed to helping our patients live a healthier, more sustainable lifestyle.
Weight loss surgery cost savings over time
A recent study shows that bariatric surgery pays for itself in about 2 years. One important reason is that weight loss surgery may help to improve or resolve conditions associated with obesity, such as type 2 diabetes and high cholesterol, so patients save money on related prescription drugs, doctor visits, and hospital visits. In fact, monthly savings associated with laparoscopic bariatric surgery were shown to reach more than $900 as early as 13 months following surgery. Learn how affordable bariatric surgery is by accessing our affordability calculator.
To learn more about bariatric surgery insurance coverage and your weight loss surgery options, take the next step by viewing our free online seminar, and call to schedule a consultation at 940.503.1302 in Decatur and Fort Worth and the surrounding areas. Let us be your advocate with your insurance company.