Insurance coverage varies for weight loss surgery procedures. Our insurance coordinator will work with you to determine your benefits and help you get the coverage you need. Your coverage is between you and your insurance company.
You will need to call your insurance company to determine if your policy covers surgical weight loss. Your coverage is between you and your insurance company. Working with you every step of the way, our insurance coordinator will help you organize the information you need and work with your insurance carrier. We will help you present your claim but you must take ultimate responsibility for your account. Should your insurance company deny coverage, we will actively work with you to appeal the decision.
In reviewing your request for coverage, most insurance companies will require extensive documentation regarding your attempts to lose weight in the past. In preparation we ask that you gather documentation of any previous diet drugs and medically supervised diets you have been prescribed.
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 company requesting approval for the weight loss surgery 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 weight loss surgery.
Some insurance companies will make the decision about your weight loss surgery within a few weeks. Others may take up to one month to return a decision. We will contact you when we have heard from your insurance company. You may contact your insurance company to check on the status of your insurance approval.
If you're insurance company denies the request for coverage of your weight loss surgery procedure, our insurance coordinator will request a peer to peer with the medical director of your insurance company or discuss appeals and self-pay options with you.
Are you ready to start your weight loss journey? Are you interested in bariatric surgery? Contact The Weight Loss Center at PinnacleHealth, located in Lititz, Pa, today to get started.
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