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Will Insurance Cover My Fitness Program?

Jul 23, 2020

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When researching weight loss surgery, patients learn that 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. The insurance process can be tricky to navigate and that’s why we do the heavy lifting for you. Our team of insurance specialists helps patients manage the process, working directly with their insurance providers to acquire approval.

But, did you know that insurance can also cover some types of fitness training post-surgery? Research has shown the importance of establishing an exercise routine after surgery, once approved by your doctor. Exercise can lead to measurable improvements in not only weight loss but your overall health. It can also help you maintain weight loss long-term. Many insurance companies understand the importance of exercising post-op and will offer assistance if deemed medically necessary and the patient meets the requirements. With many insurance companies, a patient can be covered for exercise with a licensed trainer if they have two or more co-morbidities, such as Type 2 diabetes, sleep apnea or heart disease.

For example, Dallas Iron Fitness is licensed under Nextgen RPM and is able to train patients 400 minutes per month, pending physician referral, proof of two co-morbidities and insurance approval. They accept Blue Cross Blue Shield, Humana, United Health Care, Medicare, and TriForce (Veterans). Coverage is based on each patient’s specific deductible and each patient would be handled individually. If a patient does not qualify but would like to train, they also affordable group classes limited to 5 participants.

Nicholson Clinic has two partners who offer insurance based training programs, Dallas Iron Fitness and P5 Performance. Since the agreement is between the patient and the fitness provider, Nicholson Clinic is unable to verify coverage on your behalf, so patients are encouraged to contact them directly to inquire about coverage and types of plans and medical fitness opportunities available. In addition to insurance based training, we have partners who offer affordable bariatric fitness programs, specifically geared to post-op patients. Nicholson Clinic also provides complimentary fitness classes to our patients periodically throughout the year. More information on these programs and how to reach our fitness partners can be found on our website here, and you can check our Facebook page for updates.

Regardless of what type of exercise program you decide to purse, make sure you are approved by your surgeon before you start. Work your way in slowly and ramp up for 3 to 6 weeks after surgery. Your fitness program should become a routine, aiming for 30 minutes per day, five days per week. Exercise doesn’t have to be overly strenuous, just get your heart rate up and focus on increasing your endurance, strength and flexibility. It’s also good to mix up your fitness routine and find a work out partner or walking buddy to help each other stay motivated.

Get out there and get fit!

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