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Why Add Insurance Information?

Optionally adding your insurance information will help expedite your check in process when you arrive for your scheduled consultation.

Your insurance provider requires the following information for verification purposes. Please fill out the following form with the Primary Insurance Card Holder Information:

Insurance Information

    NOTE: My Bariatric Solutions cannot accept coverage under Medicaid.

Health Information

    Do you have any of these health issues?
    (select all that apply)

    Our insurance specialists will review your insurance information and attempt to verify your bariatric weight-loss surgery coverage. This process may take several days and require additional information from you. Our goal is to get your insurance information answered within 7 working days.