Weight loss surgery can be extremely expensive, costing in the tens of thousands of dollars. Many insurance companies will pay for the surgery, but proving you need it can be a long and overwhelming process. Most insurance companies require documentation that you have tried other methods to lose weight unsuccessfully for at least six months prior to approving surgery. They will also require many reports and testing from your doctor, and frequently insist on a second opinion. Many weight loss surgery clinics have staff on hand to successfully help you navigate through the complicated hoops set up by insurance companies.
A revision is when a patient has had a Bariatric surgery before (like Lap Band) and it did not work and needs to go back in to have another Bariatric surgery (RNY or Gastric Bypass) to work for the Weight Loss. Most insurance companies do pay for the revisions also.
To pay for surgery with insurance, you typically need to follow these steps: Confirm that the surgery is covered by your insurance plan. Get a referral from your primary care physician if required. Choose a surgeon and hospital that are in-network with your insurance. Obtain pre-authorization from your insurance company. Pay any deductible, co-pay, or co-insurance required by your plan. After the surgery, the hospital and surgeon will bill your insurance company directly.
If money is an issue that is stopping you from getting bariatric surgery, then talk to your doctor. Bariatric surgery financing is usually not dealt with through insurance companies, but if the doctor can prove it is medically necessary, sometimes the insurance company will put it through. Some doctors will let patients set up a payment plan so they can have the surgery. If you own a credit card, you might want to consider putting the surgery on your credit until you can pay it off.
Free bariatric surgery is not easy to come by, but there are options available. The Weight Loss Surgery Foundation of America raises money so that it can provide grants to help people pay for all or part of the bariatric surgery cost. Surgery charity care will help people with no insurance and who live in poverty. Hospital charity also help the low-income and typically require that the procedure be medically necessary. There has even been a free weight loss surgery giveaway offered by a bariatric surgeon.
Bariatric surgery not covered by insurance is paid for by the patient. Most bariatric practices have arranged with a lender (like Capital One, e.g.) or healthcare finance company to offer various payment plans. These plans are based on credit-worthiness. The other option is to save as much as possible each month and then pay cash for the procedure.
Few insurance companies provide coverage for weight loss surgery. Paying for bariatric surgery out of pocket can be very expensive. Many patients who need obesity surgery stall due to worries about how to pay. Bariatric centers often have their own in-house financing. Bariatric financing works just like financing for many other medical procedures. Patients may be required to pay a small amount down at the time of their surgery and the balance is split into affordable monthly payments. Many third-party financial institutions also finance weight loss surgery. These financing options are bringing obesity surgery within the grasp of more people.
1. Look at the policy and 2. Ask for prequalification from the insurance company
Depends on the company, sex, state, etc. Call and ask them. Probably not.
The deductible is the amount of money that you will need to pay out of your pocket before the insurance company will pay for the surgery. Once you have proof of paying the deductible, then the provider will bill the insurance company, and they in turn will pay the provider according to how the policy states it will pay. Check your policy to see if it's an "80/20" plan or something different. An 80/20 plan means that after you pay the deductible, the insurance company will pay 80% of the bill and you will pay 20% of the bill.
Health insurance would be used to pay for gynecomastia surgery.
Health insurance would be used to pay for gynecomastia surgery.
Yes!In Canada, the hospital are free.The insurance pay when you go to hospital so if you have a surgery the insurance will pay them.But if you don't have any insurance IN canada, you have to pay.