Weight Loss Surgery Insurance

If you're struggling with chronic obesity, you may be considering your weight loss surgery options such as Roux-en-Y gastric bypass, sleeve gastrectomy, or the adjustable gastric band procedure. Many of our patients here at Clovis Community Weight-Loss Surgery Center have questions about weight loss surgery insurance. Questions include concerns about whether their insurance providers will cover all or part of the cost of the procedure.

Insurance Coverage for Bariatric Procedures

Weight loss surgery insurance varies between insurance companies, plans, and each patient's unique circumstances and medical situation.

Most insurance companies in the United States provide either partial or complete coverage for weight loss procedures. However, to qualify for coverage, patients must fulfill the requirements set out by their health insurance policy.

In most cases, patients must demonstrate that their current body mass index (BMI) has a significant negative impact on their overall health and wellness. They must show that, left untreated, their obesity may lead to costly comorbid conditions such as cardiovascular disease, Type 2 diabetes, and high blood pressure.

Assistance with Weight Loss Surgery Insurance Approval

The criteria for weight loss surgery insurance approval varies between each insurance company, with different inclusions and exclusions within each policy. Insurance adjusters typically request the following from patients seeking approval for bariatric procedures such as gastric bypass, gastric banding, and sleeve gastrectomies:

  • Chronic, sustained body mass index (BMI) of 40 or higher for an extended length of time.
  • A BMI of 35 or higher combined with two or more co-morbid conditions such as sleep apnea, high cholesterol, arthritis, or high blood sugar.
  • A letter of recommendation from the patients' primary medical provider/family doctor.
  • A letter of recommendation from a bariatric surgeon.
  • Documentation describing previous, unsuccessful attempts to manage obesity through diet, exercise, or non-surgical weight loss programs.
  • A psychological evaluation.

Here at Clovis Community Weight-Loss Surgery Center, our team of weight loss experts can help you navigate the process of seeking weight loss surgery insurance approval.

Even if you are denied coverage by your insurance company, you may still be able to have weight loss surgery by seeking financing through a medical finance company or another private lender.

To Learn More

We understand that the process of dealing with your insurance provider can be stressful. That's why we're here to help you by providing you with support throughout your weight loss journey.

For more help with seeking weight loss surgery insurance approval, contact us here at Clovis Community Weight-Loss Surgery Center. Reach us by phone at 800.260.0663.

Patient Name*
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Height* Feet Inches
Weight* Pounds
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Insurance: Please state if you have a PPO/POS/HMO
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Please feel free to give us a call at 1-800-260-0663 if you have any questions regarding this form or weight loss surgery insurance coverage.