How To Find Out If My Insurance Cover Weight Loss Surgery

The short answer is yes. Be aware its not cheap.

You have a qualifying body mass index BMI of 35 with obesity-related health problems or a BMI of 40 with no accompanying health problems necessary.

How to find out if my insurance cover weight loss surgery. While its frustrating to have to pay I know the money I will save on weight related medical issues will make up for it in the long run. Insurance coverage varies depending on your policy. Unfortunately according to the American Society for Metabolic and Bariatric Surgery less than 1 percent of those who meet the criteria for surgery actually have surgery 5.

Which medications are covered and for how long. If you get insurance through your job you can. It is best to check with your insurance carrier directly to get detailed information as to what is required to qualify for bariatric surgery.

In 2012 I paid for my lap band out of pocket 13000 and it was outpatient and 2 weeks ago I paid for a revision to a sleeve out of my pocket as well. You might find the information on your health insurers website. Youll need to work closely with your surgeons office to find out if your medical insurance covers all or part of your weight loss surgery.

If your insurance doesnt cover weight loss surgery you are not alone. A big reason for this is lack of insurance coverage. Nearly half 23 of states require some insurance coverage for weight-loss surgery.

Specific coverage will vary between. Your bariatric surgeons office will provide more details after insurance benefits are. With adequate cover you can often cut down the cost of.

To help with the insurance approval process send all documentation of previous weight loss attempts. The following page is a general guideline for insurance requirements for weight loss surgery. The average cost of bariatric surgery is between 17000 and 26000 according to the American Society for Metabolic and Bariatric Surgery ASMBS.

Insurers rarely cover weight-loss programs themselves. Or you can learn more by calling a customer service representative and asking questions such as. See our page on Insurance That Covers Bariatric Surgery for the full list of United States insurance companies contact information.

Will my insurance cover weight loss surgery. Medicare will cover the cost of weight loss revision surgery. Many insurance companies will provide coverage for weight loss surgery if it is considered a medical necessity and the patient meets the National Institute of Health NIH requirements for bariatric surgery.

Contact your insurance company yourself andor check your Summary Plan Description SPD. Make sure you contact Aetna directly to find out if you policy includes weight loss surgery coverage. Youll find out exactly from your insurer what documents you request a pre-authorization.

Does Medicare Cover Weight Loss Revision Surgery. But not 100 of the time. You will be responsible for costs not covered by your insurance.

Yes private health insurance can cover weight loss surgery if you have the right cover. As is often the case with Medicare certain conditions have to be met in order for Medicare to pay for your weight loss revision surgery. If your doctor prescribes medications for overweight or obesity contact your health insurance company to find out if it will cover them.

But you should contact your insurer directly to know whether lap band is covered by insurance. To qualify for weight loss surgery and have it covered by Aetna you must meet the criteria below. Check with your insurance provider on plan specifics.

Most of the insurance policies offered by Cigna do cover weight loss surgical procedures but there are some benefit plans that specifically exclude itIf you are not sure whether or not your particular plan includes surgical procedures for weight loss make sure that you contact Cigna directly to find out. Check on the interest rate and make sure. If you do not have health insurance or if your insurer will not cover weight loss surgery talk to your doctor and your surgeon about financing plans.

Coverage varies from plan to plan so call your insurer to see what your policy will cover. Learn more about Medicaid weight loss programs and find out how to confirm your state Medicaid programs benefits. Medicare covers weight loss surgery.

Yes most insurance policies that cover weight loss surgery provide partial or full coverage for gastric lap band procedure. Medicaid covers weight loss surgery but not all surgeons accept Medicaid If your insurance policy covers weight loss surgery insurance will only pay for it if. My insurance doesnt cover WLS or any complications of it.

Programs like Weight Watchers and Jenny Craig dont count. Speak with a licensed insurance agent 1-800-557-6059 TTY 711 247 Plan Options. Cigna Requirement for Weight Loss Surgery.

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