Is Diabetes Surgery Covered by Insurance?

Is Diabetes Surgery Covered by Insurance?

In the past, metabolic and bariatric surgery procedures were considered to be purely elective. However, in recent years, the insurance providers have gradually begun to recognize that these surgical treatments can prove to be viable medical solutions to diseases such as type 2 diabetes.

Therefore, in relative terms, providing coverage for such a procedure that can effectively eliminate type 2 diabetes, can prove to be much more cost beneficial for an insurer as compared to the long-term costs of health problems related with diabetes. This recognition paves the way for receiving insurance coverage for a surgery to treat type 2 diabetes and other health conditions.

Dr. Wiljon Beltre is a board certified and fellowship trained bariatric surgeon providing cutting edge surgical procedures to treat obesity and related diseases such as type 2 diabetes. Dr. Beltre receives patients from Orlando, Tampa, Maitland, Central Florida, and surrounding communities.

Challenges in Insurance Approval

While the insurance companies increasingly recognize the fact that the long term costs associated with diseases such as type 2 diabetes will far outweigh the short term costs of treating such conditions through surgery, they still do not make the approval process easy.

For a patient, it can be a challenge to understand all the requirements for an insurance approval for diabetes related bariatric surgery. Navigating through a large amount of paperwork can be a daunting task for a patient who is anyway struggling with obesity and type 2 diabetes.

This is where a professional metabolic surgery practice can play a vital role by providing assistance to the patient and guiding them through the complicated job of managing the insurance approval paperwork. The goal must be that this difficult insurance approval process should not deter the patient from pursuing life-changing diabetes surgery.

Professional Support for Approval

The Center for Metabolic and Obesity Surgery, led by experienced bariatric surgeon Dr. Beltre, completely recognizes this critical need of many patients to work through the insurance approval process. The helpful and knowledgeable staff at Dr. Beltre’s office will closely work with the patient as well as the insurance provider throughout the approval process.

Dr. Beltre’s team will provide the patient with access to specialists whose evaluation may be necessary. They will help in the completion of the required paperwork to gain the requisite referrals and recommendations. At the same time, they will keep the insurance company apprised of the need for this surgery for the patient’s long term health and well-being.

Patients in Orlando, Tampa, Maitland, Central Florida, and nearby locations have an opportunity to receive advance surgical procedures as well as professional support with regard to insurance issues at Dr. Beltre’s practice.

Approval Process

Every insurance provider will have their own set of conditions, criteria, and requirements to determine what kind of procedures they will cover and at what rate. Once the patient’s eligibility is determined after a careful assessment of the insurer’s requirements, Dr. Beltre’s office will work with the patient to complete the required paperwork and formalities to gain approval.

To find out more about the procedures & treatments performed by Orlando Bariatric Surgeon, Dr. Wiljon Beltre, at The Center for Metabolic and Obesity Surgery Call 321-499-6505 or Click Here to Schedule a Consultation.