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  • Casual Articles - Determining the Full Cost of Gastric Bypass Surgery

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    program will cost, and they’ll be happy to contact the insurance company on your behalf to find out if their claims will be allowed.

    What if there are complications?

    If you insurance doesn't cover the procedure, they will probably not cover any treatment that is needed if complications arise. This is often overlooked by gastric bypass patients, who budget only for the surgery in a best-case scenario and assume that if they need to go back to the hospital, because of a gallbladder infe

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    The cost of gastric bypass surgery can vary widely, depending on the type of surgery performed and whether or not your insurance will help pay for it. Other factors include the length of time you have to stay in the hospital, and whether or not any complications develop that require a second surgery.

    When there are no complications, the most common form of weight loss surgery, the laparoscopic Roux-en-Y gastric bypass surgery, can cost from $25,000 to $35,000, or more. The less invasive Lap-Band™ surgery may cost from $17,000 to $25,000. If your insurance covers these procedures, your out-of-pocket costs will be significantly reduced, and should be limited to your deductible and copays, plus the cost of any incidental procedures that are not covered.

    The costs of any surgery will go up with complications, especially if a new operation is required or if you need to stay in the hospital longer. More insurance companies are now paying for the surgery, but they do usually have strict requirements for eligibility, and pre-approval is almost always needed. If an insurance plan does cover these procedures, they will usually limit their coverage to one or a few specific types of surgery, most commonly the Roux-en-Y gastric bypass procedure. These limitations are based on a review of available safety studies.

    Even though many large insurance companies are now offering coverage for weight loss surgery, many employers do not purchase policies that cover the cost of gastric bypass surgery or other weight loss treatment because of the additional cost.

    Since your insurance company may require extensive pre-surgical counseling prior to giving you approval for surgery, you should find out in advance if the pre-treatment program they require is covered under your policy. They may pay only for the surgery itself, and you may be responsible for everything else. It’s always wise to find out in advance. The obesity center will be able to tell you what the pretreatment program will cost, and they’ll be happy to contact the insurance company on your behalf to find out if their claims will be allowed.

    What if there are complications?

    If you insurance doesn't cover the procedure, they will probably not cover any treatment that is needed if complications arise. This is often overlooked by gastric bypass patients, who budget only for the surgery in a best-case scenario and assume that if they need to go back to the hospital, because of a gallbladder infec

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    -Band™ surgery may cost from $17,000 to $25,000. If your insurance covers these procedures, your out-of-pocket costs will be significantly reduced, and should be limited to your deductible and copays, plus the cost of any incidental procedures that are not covered.

    The costs of any surgery will go up with complications, especially if a new operation is required or if you need to stay in the hospital longer. More insurance companies are now paying for the surgery, but they do usually have strict requirements for eligibility, and pre-approval is almost always needed. If an insurance plan does cover these procedures, they will usually limit their coverage to one or a few specific types of surgery, most commonly the Roux-en-Y gastric bypass procedure. These limitations are based on a review of available safety studies.

    Even though many large insurance companies are now offering coverage for weight loss surgery, many employers do not purchase policies that cover the cost of gastric bypass surgery or other weight loss treatment because of the additional cost.

    Since your insurance company may require extensive pre-surgical counseling prior to giving you approval for surgery, you should find out in advance if the pre-treatment program they require is covered under your policy. They may pay only for the surgery itself, and you may be responsible for everything else. It’s always wise to find out in advance. The obesity center will be able to tell you what the pretreatment program will cost, and they’ll be happy to contact the insurance company on your behalf to find out if their claims will be allowed.

    What if there are complications?

    If you insurance doesn't cover the procedure, they will probably not cover any treatment that is needed if complications arise. This is often overlooked by gastric bypass patients, who budget only for the surgery in a best-case scenario and assume that if they need to go back to the hospital, because of a gallbladder infe

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    ict requirements for eligibility, and pre-approval is almost always needed. If an insurance plan does cover these procedures, they will usually limit their coverage to one or a few specific types of surgery, most commonly the Roux-en-Y gastric bypass procedure. These limitations are based on a review of available safety studies.

    Even though many large insurance companies are now offering coverage for weight loss surgery, many employers do not purchase policies that cover the cost of gastric bypass surgery or other weight loss treatment because of the additional cost.

    Since your insurance company may require extensive pre-surgical counseling prior to giving you approval for surgery, you should find out in advance if the pre-treatment program they require is covered under your policy. They may pay only for the surgery itself, and you may be responsible for everything else. It’s always wise to find out in advance. The obesity center will be able to tell you what the pretreatment program will cost, and they’ll be happy to contact the insurance company on your behalf to find out if their claims will be allowed.

    What if there are complications?

    If you insurance doesn't cover the procedure, they will probably not cover any treatment that is needed if complications arise. This is often overlooked by gastric bypass patients, who budget only for the surgery in a best-case scenario and assume that if they need to go back to the hospital, because of a gallbladder infe

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    bypass surgery or other weight loss treatment because of the additional cost.

    Since your insurance company may require extensive pre-surgical counseling prior to giving you approval for surgery, you should find out in advance if the pre-treatment program they require is covered under your policy. They may pay only for the surgery itself, and you may be responsible for everything else. It’s always wise to find out in advance. The obesity center will be able to tell you what the pretreatment program will cost, and they’ll be happy to contact the insurance company on your behalf to find out if their claims will be allowed.

    What if there are complications?

    If you insurance doesn't cover the procedure, they will probably not cover any treatment that is needed if complications arise. This is often overlooked by gastric bypass patients, who budget only for the surgery in a best-case scenario and assume that if they need to go back to the hospital, because of a gallbladder infe

    Getting a Merchant Account
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    program will cost, and they’ll be happy to contact the insurance company on your behalf to find out if their claims will be allowed.

    What if there are complications?

    If you insurance doesn't cover the procedure, they will probably not cover any treatment that is needed if complications arise. This is often overlooked by gastric bypass patients, who budget only for the surgery in a best-case scenario and assume that if they need to go back to the hospital, because of a gallbladder infection for instance, their insurance will pick up the cost. Be sure to call your insurance company’s customer service line before your surgery to find out what your contract will cover.

    Complications can include such things as leakage, infections and gall-stones. Be sure to have a frank conversation with the counselor at the surgical center so you will have a good understanding of all potential complications, along with their risks and costs.

    Other costs to consider are any long-term follow up sessions that may be needed in order to prevent nutritional imbalances, and counseling that may be required to make sure you don't regain any weight. Almost all surgeons suggest ongoing nutritional counseling, and the cost for this necessary assistance may not be covered by your insurance.

    Finding out if gastric bypass is covered by your insurance:

    Even if your obesity center calls your insurance company for you, you should also call the health insurance company to make sure you understand your coverage and your options. Also, in case of a future disagreement with your insurance company, you should make a note of the day and time of your call and the name of the representative who quotes your benefits. If you make a decision based on this quote and claims are later denied, you may be able to appeal. This may not be allowed if you get your information only through your surgeon’s office.

    To see if your policy covers weight loss surgery, find the chapter in your benefit booklet that lists contract exclusions. An “exclusion” is a service or diagnosis that the insurance contract will not pay for, regardless of medical necessity.

    Some plans exclude any claim with a diagnosis of obesity. This would include all weight loss surgery and counseling, so you’ll have to look elsewhere for financial assistance.

    Other plans exclude “weight loss treatment,” but this may only apply to diet pills and self-help programs. If you find this language in your benefit

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