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insurance that covers gastric bypass

September 10th, 2008 admin Leave a comment Go to comments

insurance that covers gastric bypass

As soon as you have decided to pursue gastric bypass surgery, you should contact your insurance company immediately to find out if your policy covers the procedure. You can find the number of services for members of your insurance card or on the Web site your insurance provider. When contacted a representative of the company is always specific to the type of surgery you will have-for example of laparoscopic Roux-en-Y gastric bypass surgery and make sure to note the date, time of day, and the name of the person with whom you spoke.

Also, take note of what the member service representative says about policy and the documentation required for prior authorization. Ask your company provide a certificate of coverage by mail, so You can compare this list of conditions which gave the phone and be sure to obtain all necessary documentation. Finally, be sure to get the address e-mail where you must submit documentation from your doctor and ask for permission.

Planning Gastric Bypass Surgery Once you have confirmed that you are covered by your insurance policy for weight loss surgery, you must request a gastric bypass surgery referral from your doctor. The reference indicates that your doctor supports and believes that the procedure is medically necessary. A formal letter of recommendation from your primary care physician also useful when an application for prior authorization.

You must also obtain the documentation that you are a suitable candidate for gastric bypass surgery. Insurance companies have different requirements for obtaining pre-approval, which should be detailed in your certificate of coverage. These usually include information on body mass index (BMI) and diagnosis of severe or morbid obesity, a documented history of physician-supervised diet and exercise programs, a list of drugs for weight loss prescribed by your primary care physician, and complete medical and psychiatric evaluations. Also, you should document any serious or life-threatening obesity-related health problems (known as co-morbidities), such as heart disease, hypertension pressure, or osteoarthritis.

Improving your chances of Insurance Pre-Approval sure to fully investigate all possibilities for the organization of gastric bypass surgery and obtain all necessary medical documents, supporting documentation and letters of recommendation before submitting an application to its insurance company for pre-approval. It is imperative that your insurance company understands the procedure is medically necessary and not for aesthetic reasons. By working closely with your physician and a qualified bariatric surgeon can help the process long and complicated authorization without problems and increase your chances of having insurance pay for the procedure.

About the Author:

Craig Thompson, was one of the earliest to have
Gastric Bypass
Surgery, in 1997. Now writes about
gastric bypass insurance

Article Source: ArticlesBase.comGastric Bypass Surgery – Keys to Obtaining Insurance Coverage

Health & Renter’s Insurance : Getting Insurance to Pay for Gastric Bypass Surgery

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