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What Should I Know About Insurance and Weight Loss Surgery in Texas?

Oct 06, 2021

What Should I Know About Insurance and Weight Loss Surgery in Texas?Bariatric surgery is a critical undertaking — emotionally, physically, and financially. Without health insurance, weight loss surgery in Texas may seem insurmountable to some. So, to understand the beginning stages of having bariatric surgery, it is essential to know if — and how — insurance companies help financially.

Does Insurance Cover Weight Loss Surgery In Texas?
Yes, most insurance companies will cover most weight loss surgeries. The Nicholson Clinic for Weight Loss Surgery accepts and files most major insurance plans. These bariatric surgeries include:

  • Gastric bypass
  • Gastric Sleeve
  • LAP-BAND® Surgery

How Do You Get Bariatric Surgery Covered By Insurance?
Nicholson Clinic for Weight Loss Surgery’s team of insurance specialists will help you easily manage the process, by working directly with your insurance provider to acquire approval. In many cases, bariatric surgery is considered a medical necessity and is at least partially covered by most insurance companies, provided the patient meets their requirements.

To get your bariatric surgery covered by your insurance, you might have to meet all or most of these criteria:

  • Diagnosis of morbid obesity
  • Have a Body Mass Index (BMI) over 40 – OR – a BMI over 35 with one or more comorbidity
  • Must be above 18 years of age
  • Not a smoker or have quit before the procedure
  • Emotionally fit for the surgery
  • Willingness to stick to the weight loss plan outlined by the insurance company

Coverage for your weight loss surgery is dependent on your specific insurance plan, however your Insurance Advocate will work with you and your insurance provider to help you minimize your out-of-pocket expense and maximize coverage for your procedure.
In a situation whereby your insurance doesn’t cover bariatric surgery, there are other alternatives such as financing options that can make weight loss surgery affordable.

Bottom Line
If you have questions regarding weight loss surgery or find the whole process intimidating, schedule a consultation with one of our experienced bariatric surgeons today to get answers to all your questions regarding health insurance and weight loss surgery.

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  • What Should I Know About Insurance and Weight Loss Surgery in Texas?

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