- Roux-en Y (RNY) Gastric Bypass
- Vertical Sleeve Gastrectomy
- REALIZE Band
- BPD/DS (Duodenal Switch)
- LAP-BAND. (If you are denied LAP-BAND surgery we are involved in a special appeals program. Contact us for additional information.)
Unfortunately many insurance companies and self-insured plans attempt to limit patients to “one surgery per lifetime” or deny revision procedures based on their belief that you, the patient, were “non-compliant” after your first procedure. It gets back to their old mentality of “let’s blame the patient.” Regardless of the reasons, you should contact us to evaluate how we may be able to assist getting that revision approved.
I Had Surgery And Now All Of The Excess Skin I Have Is Causing Health Problems But The Insurance Says It Is Cosmetic And Not Medically Necessary. Can You Help Me Fight That?
My Bariatric Program’s Insurance Person Says I Absolutely Must Do A 6 Month Medically Supervised Diet because it is Required By My Insurance Company. Is That True?
There is little medical evidence to support these supervised diets over 6-12 months. If you don’t believe us, here is what the American Society of Metabolic and Bariatric Surgeons (ASMBS) says in its Position Statement on Preoperative Supervised Weight Loss Requirements:
“It is the position of the ASMBS that the requirement for documentation of prolonged preoperative diet efforts before health insurance carrier approval of bariatric surgery services is inappropriate, capricious, and counter-productive given the complete absence of a reasonable level of medical evidence to support this practice. Policies such as these that delay, impede or otherwise interfere with life-saving and cost-effective treatment, as have been proven to be true for bariatric surgery to treat morbid obesity, are unacceptable without supporting evidence.”