Is Revision Weight Loss Surgery Covered by Insurance?

In the case of primary bariatric surgery as well as revision weight loss procedure, which were once considered as purely elective surgeries, the insurance companies are gradually willing to change their position. Insurers increasingly recognize that obesity is a progressive disease, and surgery or a revision procedure can provide a viable medical solution.

Many insurance providers are now also of the opinion that covering weight loss and revision surgery now, will, in fact, prove to be a money saver in the long run. The long term costs of obesity related health conditions far outweigh the short term cost of addressing those concerns through surgery. As an experienced bariatric surgeon, Dr. Wiljon Beltre and his team can provide guidance and support to patients with regard to insurance aspects. Dr. Beltre receives patients from Orlando, Tampa, Maitland, Central Florida, and surrounding areas.

Support with Insurance Approval

The process of navigating through the complex paperwork and requirements of insurance approval can be difficult and cumbersome for patients. The Center for Metabolic and Obesity Surgery believes that these issues should not hold back a patient from seeking life changing revision metabolic or bariatric surgery. The helpful and experienced office staff at the practice will work closely with the patient and their insurer throughout the approval process.

The practice will provide access to specialists, whose evaluation may be necessary. The staff will assist the patient with completion of required paperwork to gain recommendations and referrals, and keeping the insurer informed about the need for this surgery to support the patient’s long term health and well-being. Dr. Beltre is a pre-eminent bariatric surgeon providing revision weight loss surgery and other procedures to patients in Orlando, Tampa, Maitland, Central Florida, and nearby locations.

Insurance Approval Process

Every insurance provider has their own set of requirements and criteria to determine the specific weight loss revision procedures they may cover and at what rate. Therefore, the first step will be to closely consider the insurer’s specific requirements in a particular case. Dr. Beltre’s office team will help the patient understand the fine print requirements and criteria for determining eligibility.

It may appear at the outset that the patient does not meet the requirements, but if the revision weight loss surgery is medically necessary, it may be possible to obtain coverage. Dr. Beltre’s office will work with the patient to put together the required paperwork. Common paperwork requirements may include:

Medical Records

The first item on the approval paperwork checklist usually is comprehensive medical records from the primary care physician, and additional clearances from various specialists.

Medical Evaluations

Dr. Beltre’s practice incorporates a board certified psychiatrist and a certified nutritionist who will engage closely with the patient to expedite the insurance approval process.

Documentation of Previous Weight Loss Surgery

In case of a revision weight loss surgery, it will usually be necessary to provide appropriate documentation of the previous weight loss procedure. This may include medical charts and various details of the primary surgery, along with reasons for seeking and trying to obtain a revision procedure.

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.

Please note: If the weight is regained, diabetes and other conditions could return.