Now that you are considering bariatric surgery, it is important to know if your insurance company will cover the procedure. While most insurance companies cover obesity surgery in full, some do not and others may have restrictions in coverage. All plans are different and the amount of coverage depends on the arrangement your employer has made with your insurance plan. It is crucial that you call your insurance provider to determine if bariatric surgery is covered. We have a specialized insurance coordinator who will work with you to obtain an insurance authorization.

Gaining approval

Most insurance companies require documentation regarding your previous attempts at weight loss. Important documents may include:

  • A two year weight history. Some insurance companies may require up to five years.
  • Documentation from a medical provider of supervised diets and weight loss medications prescribed
  • History of any commercial diets you may have tried (i.e. Weight Watcher, Jenny Craig, NutriSystem)
  • Any exercise program records

Many times, insurance companies require official documentations – the information listed on our intake form is not sufficient. You may need to contact the physicians who have treated you for weight loss in the past for specific documentations.

Our insurance coordinator will assist you in the process of obtaining authorizations. We will work with you every step of the way and do everything necessary to obtain an authorization for your procedure. After submission, our office will contact you when your insurance company makes a decision. Each insurance carrier varies in the time it takes to make a decision regarding your surgery.

If your surgery is denied by your insurance company, our insurance coordinator will work with you to acquire a