Does my insurance cover bariatric surgery?

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Do insurance companies cover bariatric surgery?

Most personal insurance plans do not cover weight loss surgery at this point in time. However, if weight loss surgery at a private clinic is the best option for you, there are several financing options available to apply for. You may also quality for a federal medical tax credit for medically necessary procedures.

How can I get my insurance to pay for gastric sleeve?

To prove to your insurance company that your surgery is medically necessary, following are the typical steps:

  1. Minimum body mass index (BMI) requirements to be confirmed by your physician: …
  2. Complete a medically supervised diet program. …
  3. Schedule a consultation with your bariatric surgeon.

What if my insurance doesn’t cover bariatric surgery?

If your insurance does not provide coverage for bariatric surgery, there are other options available to you. Depending on plan language, consultations, nutritional counseling and pre- and post-operative tests, labs and follow-up visits may be covered, although surgery is not.

How do you get approved for bariatric surgery?

Bariatric Surgery Requirements

  1. Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40 and an obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.
  2. Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate.
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How much does gastric sleeve cost out of pocket?

The average cost of gastric bypass surgery is $23,000, the average cost of lap band is $14,500, and the average cost of sleeve gastrectomy surgery is $14,900. So before getting too involved, spend time determining if your insurance will cover weight loss surgery.

How quickly can I get bariatric surgery?

Most patients can be pre-approved for bariatric surgery within a matter of 90 days/12 weeks (with consecutive office visits throughout) if there are no medical weight loss program requirements, but there is no guarantee.

What can disqualify you from bariatric surgery?

These are as follows:

  • Drug and/or alcohol addiction.
  • Age under 16 or over 75.
  • History of heart disease or severe lung problems. …
  • Chronic pancreatitis (or have a history of this).
  • Cirrhosis of the liver.
  • Autoimmune disease such as systemic lupus erthyematosus.
  • Blood disorder which increases your risk of heavy bleeding.

Is it hard to get approved for weight loss surgery?

You typically qualify for bariatric surgery if you have a BMI of 35-39, with specific significant health problems like Type 2 diabetes, sleep apnea or high blood pressure. A BMI of 40 or higher also is a qualifying factor.