Health Insurance Coverage - Suwanee, Johns Creek, Alpharetta. One of the main concerns for many people when considering weight loss surgery is cost.
![]() When dealing with health insurance companies, the process can often seem long and complicated. We are here to make it easier. Our office has bariatric coordinators who will assist you in all steps of getting through the weight loss process, including guiding you through the insurance approval process. If you don’t have insurance, we will go over several options for you including cash pay discounts and ways to obtain loans if necessary. There is truly no better investment you can make than in your own health. Most studies show the cost of the surgery is offset on average in as little as two years just in the savings in decreased medications, decreased hospitalizations, decreased doctor visits, etc. If you have health insurance, the first thing to do is to confirm whether you have coverage for bariatric surgery or not. You should call the customer service number on the back of your insurance card. Ask if bariatric surgery is a covered benefit. Get a copy of your policy in writing. Q: Who do I call to confirm that my insurance covers weight loss (bariatric) surgery? If your insurance provider indicates that you have coverage “if it is deemed medically necessary,” this means that you have benefits for weight loss surgery. The insurance experts at our office will verify the specific benefits you have and will go over all of the specifics about your insurance coverage and the requirements for approval for surgery when you meet with us at your first consultation with your surgeon. If your insurance provider indicates that you have “exclusion” on your policy, this means that your employer has opted not to cover this benefit for employees. Unfortunately, if you have an exclusion, letters or appeals from our office will not change whether or not you have this benefit on your policy. Only your employer can make this change by choosing to cover bariatric surgery as a benefit to their employees. If you have an exclusion, we recommend that you to speak with your human resources director and ask if there may be plans to cover this benefit in the coming year. We have had several patients in our program convince their employers that the benefits of weight loss surgery – including getting off of their expensive medications rather quickly, missing less time off from work due to related conditions and illnesses, and generally being more productive due to a more positive outlook on life – outweighed the cost to cover the benefit, and they were successful in gaining coverage. 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.![]() ![]() Q: How much does the surgery cost if my insurance will not pay for it? Cost variables exist with each procedure and we will give you specific pricing at your initial visit or at the informational seminar. If you are paying for the surgery outside of insurance, the costs of the procedure starts as low as $9. It also includes your first 6- months of follow- up appointments for the sleeve gastrectomy. ![]() The Weight Loss Surgery Foundation of America – WLSFA.ORG – is a 501(c)3 Charity. Powered by weight loss surgery patients, medical professionals and industry. Pricey pills and health treatments can leave your wallet feeling woozy. It's time for a MoneySaving medical to cut the price of your prescriptions and medicines. Let’s be honest, we’d all love to have weight loss surgery in our home city with a surgeon we know and trust. While most insurance companies do offer some sort of. Parents Forced to Say Goodbye to Terminally Ill 10-Month-Old Baby as Courts Decide to Take Him Off Life Support. ![]() ![]() ![]() If the procedures are done at the hospital, cost start around $1. These costs will include the surgeon fee, the hospital fee following surgery, all operating room time, nursing staff, supplies, instruments, medications, Anesthesia fee, and your anesthesia team. It also includes your first 6- months of follow- up appointments. For financing options, we recommend contacting Care. Credit or Prosper Lending. You can apply for a loan through either patient financing institution to help you afford the cost of surgery. How Care. Credit. With Care. Credit, you can pay for out of pocket expenses for your weight loss surgery right away and then make convenient monthly payments. Make Healthcare Affordable. The healthcare financing industry has been flooded with high- interest credit cards that may help you pay for the treatment you need, but often end up causing more harm than good. Financing through Prosper Healthcare Lending offers healthy, simple interest loans with no prepayment penalties, no retroactive interest, longer terms for lower monthly payments, and an inquiry process that will only take you minutes to complete. We truly “Make Healthcare Affordable.”. Weight Loss Surgery Australia - All You Need to Know. Private insurance in Australia usually covers bariatric surgery, although you will still have out of pocket fees over and above what the insurance companies cover (between $1,7. Medicare rebates). Use the following interactive tool to see the average out of pocket costs for gastric bypass, gastric banding (lap band), and gastric sleeve surgery in your state/territory. Note that many surgeons will not perform any surgery other than gastric banding (Lap Band) if you do not have private insurance. To get the specific coverage information and your out of pocket costs from your health fund, contact them directly and provide the following Medicare item numbers: Gastric banding – Item 3. Gastric bypass – Item 3. Gastric sleeve (sleeve gastrectomy) – Item 3. Duodenal switch – Item 3. Reversal of Gastric Banding/Lap Band (removal or replacement of gastric band) – Item 3. Intragastric balloon – There is no item number specifically for the balloon, but you can provide the number for gastroscopy since they may pay for that portion of the treatment – Item 3. Click here for a full list of Australian health funds and their contact information. You can also contact your local qualified surgeon for help understanding total costs and how insurance will apply.
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