Bariatric Surgery & Insurance – Are You Covered?

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Meet Dr. Joshua Long:
Our Bariatric Surgeon

A nationally renowned and double-board-certified Denver bariatric surgeon, Dr. Long uses a partnership care model with each patient to tailor care to their individual needs. Patients routinely thank Dr. Long for his warm, compassionate bedside manner. He’s considered to be at the top of his field, having performed over 1,000 bariatric surgeries. Peers praise his technical skill, and he has some of the lowest complication rates among bariatric surgeons in the nation. Dr. Long and the staff at the Bariatric and Metabolic Center of Colorado consider it an honor to serve every patient with the highest quality of care.

Dr. Joshua Long headshot

Dr. Joshua Long

MD, MBA, FACS, FASMBS

On average, adults who suffer from obesity pay 81% more for healthcare than those who do not. These expenses come in the form of prescription medication, medical bills, special equipment for your home, and other expenses. 

Most insurance companies across the U.S. have begun listening to the evidence that shows that surgery for obesity is more effective and more affordable long-term than treating the symptoms of obesity. Under the Affordable Care Act, some states require insurers to include bariatric benefits when selling plans on the marketplace and by 2016, nearly half of states mandated that bariatric surgery be covered by insurance. 

However, insurance firms still deny people coverage for bariatric operations. A denial could come because of the state where you get your insurance, your employer’s health plan, your inability to meet insurance requirements, or a combination of factors. This blog explores the cost of bariatric surgery, how to find out if this type of surgery is covered by your plan, and what options you have if it is not. 

The Cost Of Weight Loss Surgery

Weight loss surgery can cost anywhere from $17,000 to $26,000 nationally. The price of your weight loss surgery depends on a few factors. 

How Can You Find Out If Your Insurance Will Cover Weight Loss Surgery?

If you don’t know which bariatric center or hospital is in your insurance’s network, call your insurance to find out if and where weight loss surgery is covered.

Weight loss surgery coverage varies a great deal, as does the definition of ‘medically necessary,’ so be prepared to ask questions. A few good questions to ask are:

Do you already know where you are going to have your surgery? Gather your policy information and contact them to verify your insurance coverage for weight loss surgery. At the BMCC, our friendly front office staff is happy to verify your coverage for you when you make an appointment with us. 

What Requirements Do Some Insurance Plans Have?

The prerequisites needed for your insurance to cover your weight loss surgery will vary. Some of the most common requirements include:

What If My Insurance Doesn’t Cover Bariatric Surgery?

Most bariatric clinics accept cash payment for people who don’t have insurance or have insurance that doesn’t cover bariatric surgery.  

At the Bariatric & Metabolic Center of Colorado, our cash-pay prices are some of the lowest not just in Colorado but also in the nation—often by thousands of dollars. Additionally, our fees do include extensive preoperative education, hospital stay, and anesthesia.

Bariatric Surgery at the Bariatric & Metabolic Center of Colorado

At the Bariatric and Metabolic Center of Colorado, we accept most major Colorado and national insurance providers. If you’re in the Health Colorado Exchange, your plan is required to include bariatric benefits. If you do not have insurance or your surgery is not covered, our prices are significantly below the national average and we offer transparent, all-inclusive cash pricing plans. 

To find out if you have insurance coverage at the Bariatric and Metabolic Center of Colorado, contact us today!   

Dr. Joshua Long headshot

This page was medically reviewed by Dr. Joshua Long, MD, MBA, FACS, FASMBS. Dr. Long is a double-board-certified bariatric surgeon and bariatric medical director for Parker Adventist Hospital.
Full Bio: Dr. Joshua Long, MD, MBA, FACS, FASMBS
Page Updated: September 18th, 2020

Lose Weight and Keep It Off With Bariatric Surgery

Are you ready to take the next step on your weight loss journey? Schedule an appointment with our friendly office staff today.

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*Please note that individual results can vary and are not guaranteed.