For people considering a surgical solution to their obesity, they might wonder if there is such a thing as gastric bypass insurance. They'll be happy to know that the answer is yes. Under certain circumstances, insurance providers will pay for bariatric surgery. Since every company is different, the first thing to do is to review your plan to discover the details.
Many insurance providers require potential bariatric patients to provide proof they have tried hard to lose weight using non-surgical methods. They might demand a log of visits to your doctor proving you have obesity-related health issues such as high blood pressure, diabetes or heart disease. Other efforts like membership to gyms and weight-loss centers all help in your demonstration of willingness to tackle your weight problem in a responsible manner.
Once you have achieved this, it is time to ask your health professional for a letter of preauthorization for gastric bypass insurance to your insurance company. This will show that your bariatric surgery is a medical necessity and not just an attempt to look better and thinner quickly. You will likely have to disclose your Body Mass Index (BMI) in the letter and a history showing how long you have been overweight. If normal daily activities are difficult for you (i.e., activities like walking, bathing and tying your shoes), it is important to list them as well to serve as additional evidence supporting your need of this life-saving surgery. Remember to include the status of your mental health, too. The insurance provider will want to know there are no unusual psychological concerns compounding your weight problem or your attempts to correct it.
There is no guarantee that coverage will be issued to you, even in companies that include bariatric treatment. So it is possible you may be denied the money needed to pay for the procedure. If this happens, take heart, you still have options. You can appeal the denial. In this case, coordinating with your bariatric center is critical. You may be asked to send another letter describing how obesity impacts your life, with specific focus to the daily activities that are no longer possible for you to live a productive existence. With perseverance and a helpful hand from your medical team, gastric bypass insurance can be a reality.
Many insurance providers require potential bariatric patients to provide proof they have tried hard to lose weight using non-surgical methods. They might demand a log of visits to your doctor proving you have obesity-related health issues such as high blood pressure, diabetes or heart disease. Other efforts like membership to gyms and weight-loss centers all help in your demonstration of willingness to tackle your weight problem in a responsible manner.
Once you have achieved this, it is time to ask your health professional for a letter of preauthorization for gastric bypass insurance to your insurance company. This will show that your bariatric surgery is a medical necessity and not just an attempt to look better and thinner quickly. You will likely have to disclose your Body Mass Index (BMI) in the letter and a history showing how long you have been overweight. If normal daily activities are difficult for you (i.e., activities like walking, bathing and tying your shoes), it is important to list them as well to serve as additional evidence supporting your need of this life-saving surgery. Remember to include the status of your mental health, too. The insurance provider will want to know there are no unusual psychological concerns compounding your weight problem or your attempts to correct it.
There is no guarantee that coverage will be issued to you, even in companies that include bariatric treatment. So it is possible you may be denied the money needed to pay for the procedure. If this happens, take heart, you still have options. You can appeal the denial. In this case, coordinating with your bariatric center is critical. You may be asked to send another letter describing how obesity impacts your life, with specific focus to the daily activities that are no longer possible for you to live a productive existence. With perseverance and a helpful hand from your medical team, gastric bypass insurance can be a reality.
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