There are many costs associated with weight loss surgery, also known as bariatric surgery. Before you can even be cleared for surgery, you will incur costs for pre-operative visits and testing. A variety of clearances and approvals are required for you to have the surgery, so you will want to participate in our free, informational seminar to find out how to get started.
Weight loss surgery cost varies for the surgical procedures at Emory Decatur Hospital and will depend primarily on your needs and the surgery you pursue. A cost starting at $16,000 is probably realistic. Medicare, Medicaid, and some insurance providers may cover a portion of the weight loss surgery cost. If you do not have bariatric insurance coverage, it is still possible to have one of these procedures done on a self-pay basis. With the self-pay option, you won’t be delayed by having to wait for insurance approval. Emory Decatur Hospital offers competitive self-pay package rates.
It is important to check with your insurance company prior to starting this process to see if they will cover weight loss surgery cost. You may contact them by calling the toll free number listed on your card for customer service. Many insurance companies have their coverage and benefit information on their Web site.
Here are a few helpful questions to ask your insurance company about covering weight loss surgery cost:
1. Is the bariatric procedure code a covered benefit?
Laparoscopic Roux-en-Y Gastric Bypass Surgery - Code 43644
Laparoscopic Gastric Banding Surgery - Code 43770
Laparoscopic Sleeve Gastrectomy - Code 43775
Loop DS- Code 43845
(Be sure to clarify that you are asking about the procedures on the basis of medical necessity.)
2. What limits and/or requirements are stated in order to receive morbid obesity treatment? For example:
3. Are my surgeon and Emory Decatur Hospital providers under my plan?
4. What testing is covered, such as nutritionist, psychologist, labs, sleep apnea study, ultrasounds, etc.?