Obesity Health Solutions accepts all major insurance carriers, including Medicare and Medicaid.
Insurance approval for weight loss surgery varies by company, and you should contact your insurance carrier to learn whether bariatric surgery is a covered benefit. Our staff can answer questions and help you work with your insurance company to gain approval. Should your carrier deny coverage, we will actively work with you to appeal the decision.
Preparing for Approval
Most insurance companies will ask for in-depth, comprehensive documentation relating to your previous weight loss attempts. We advise you to gather the following information:
• medical documentation of a five-year weight history
• any actual documentation of diet drugs and medically supervised diets prescribed
• records of commercial diet programs you have tried (Weight Watchers, Jenny Craig, etc.)
• records of any exercise programs you have tried (YMCA/YWCA, gym membership, etc.).
You will need to begin gathering these records now so they are readily available when we initiate communication with your insurance company. It is not enough for you to simply list these items – the insurance company will require official documentation.
You will need to contact the doctor who weighed you and/or prescribed weight loss drugs for a copy of that documentation. A summary letter of dates, weights, prescribed medications and supervised diets from that doctor is acceptable. You may need to contact commercial diet program offices and exercise facilities for records if you do not have these.
Once your test results, consults, weight history, diet and exercise program documentation and other records have been received and reviewed by our office, we will submit a letter of recommendation to your insurance carrier requesting approval for the surgical weight loss procedure. Your medical records are forwarded to your insurance company with this letter. The insurance company will let us know if there is any additional information they will need to make the decision to approve or deny your surgery.
Some insurance companies will make the decision about your weight loss surgery within a few weeks. Some insurance carriers take several weeks or months to return a decision. We will contact you when we have heard from your carrier. In addition, you may contact your insurance company to check on the status of your insurance approval. Click here to see which carriers may pay for weight loss surgery in Texas (from Obesity Help.com).
If your insurance company denies the request for coverage, our staff will discuss the appeals process with you.