Insurance Patients:
The bariatric surgery insurance approval process can be challenging. Our dedicated insurance specialists  help you successfully navigate the approval process. We will:

• Verify your insurance benefits and criteria specific to your plan
• Provide the estimated out of pocket amount based on your insurance coverage
• Obtain medical records, referral letters and any other documentation required by your insurance
• Work with your insurance company to obtain approval for surgery
• Keep you informed and updated every step of the way

Our surgeons and medical center are in-network providers for most insurance plans. Criteria for bariatric (weight loss) surgery insurance can vary greatly by plan and by employer. Most insurance companies base criteria on the following National Institutes of Health guidelines:

• BMI of 40 or greater
• BMI of 35-40 with significant obesity related health condition such as, type 2 diabetes, high blood pressure, sleep apnea, arthritis and other conditions
• Documented dietary attempts ineffective
• Multi-disciplinary team approach
• Life-long medical surveillance
• These requirements only apply if surgery is a covered benefit under your policy. Some policies have exclusions, which means your insurance plan does not cover these services.

Can You Afford NOT to Have Surgery?

Self Pay Patients (Uninsured or not going through your insurance plan):
Not everyone has bariatric surgery insurance coverage for weight loss surgery. If you choose to pay for surgery yourself, our plans provide options for unexpected concerns. Our self pay rate for gastric banding, vertical sleeve gastrectomy and gastric bypass includes the coverage of complications or readmission to the hospital for 90 days after your procedure.

If you have questions about our bariatric surgery insurance coverage for procedures offered at TriStar Centennial Center for Weight Management please visit our contact us page or call 615­-342­-1231.