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Your health insurance paves the way for your weight-loss journey. Bariatric surgery is an elective procedure, so it is important you understand what is and is not covered by your insurance plan. Our insurance coordinator can help explain your pre-approval requirements and submit you for coverage. Most insurance plans require you to participate in a weight-loss trial under a doctor’s supervision. They may also request documents that show that your weight has been a long-term health issue.
Insurance coverage
If you have insurance, Ascension Seton will file a claim with your insurance company, on your behalf. Please provide all necessary information and documentation to determine your insurance benefit eligibility. This information may include, but is not limited to, answers to the following questions:
- Has the patient been added to the insured’s policy?
- Have completed and signed claim forms been submitted to the insured’s carrier?
- Has secondary insurance information been provided to the hospital, if applicable?
- Have your services been authorized and, if applicable, do you have a referral form from the primary care doctor?
Check with your insurance to see if CPT (Current Procedural Terminology) codes 43775 gastric sleeve and/or 43644 gastric bypass are covered.
