Although many health insurance companies recognize the long-term benefits of surgery for severe obesity and approve the procedure, every company uses different criteria for the approval process. For this reason we request written prior approval for the surgery from your health insurance carrier in every case. This includes written documentation of the medical indications that justify surgery. Preapproval may take as long as four to six weeks. We can help you with preauthorization, so contact us today to get started!
We work with the following insurance companies. If yours isn’t listed, please call to ask about coverage:
Some insurance companies require a referral or a medically documented weight loss before approving the surgery. Check your policy to determine coverage for bariatric surgery by calling the phone number on the back of your insurance card. Check your policy regarding specific requirements and inform our office of your findings. Provide your insurance company with the correct bariatric CPT code:
Gastric bypass: 43644
Sleeve gastrectomy: 43775
Once you are under our care, we’ll take over and conduct the preauthorization on your behalf.
Most insurance companies require pre-certification of your hospital stay. This is not the same as preauthorization for surgery. We are happy to obtain this pre-certification if you provide the phone number of the pre-certification company shown on your insurance card.
Please be aware of the following during the preapproval period:
Our staff is experienced at identifying candidates for surgery and making it happen. If you are eligible, we are here to help identify the procedure that’s best for you and make it affordable and possible.
Call us today at (877) 639-9968. We’re here to help!