A word about insurance:
You might be surprised to learn that many insurance companies will cover the
treatment of health problems caused by obesity but not obesity itself or that
a conclusion that a particular service is medically necessary does not constitute
a warranty that treatment is covered (i.e., will be paid for by your insurance)
for a particular member. But in California, you can fight your insurance company's
position if your treatment is medically necessary. So it is a good idea to
have a basic understanding of what your insurance will cover prior to setting
up a meeting with a bariatric surgeon.
In general, insurance companies require a Body Mass Index
(BMI) of 40 or higher. A BMI of 35+ may be allowed depending
on the number and severity of the patient's related comorbidities.
Remember, surgery is a last resort treatment meaning you have
tried and failed to change any one or combination of the following
factors/treatments:
 environmental/behavioral
(dietary, physical exercise)
biological
(pharmacological)
|
Where do I start?
We know how frustrating dealing with your insurance company
can be. If you're from California, contact
us and we will get your
process started and attempt to verify your coverage for
you! If you are from out of state, you will probably want
to find
a doctor near you.
