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Insurance companies vary greatly in what they cover and what you must do before enrolling in a program or scheduling surgery. If you are considering weight-loss surgery, checking insurance coverage is an important early step. Most policies cover weight-loss surgery, but a few don’t cover it at all, and some cover only certain types of surgery. In addition, some companies have special requirements for preparation.
We have a helpful checklist of questions to ask when speaking with your insurance company about coverage, deductibles and copays for weight-loss services and surgery. And if you're not sure, contact us. We've helped more thousands of people reach their weight-loss goals, so we've worked with nearly every insurance company--we've probably worked with yours, too.
Review your policy before you come to the Weight Center for your first appointment. If possible, bring a copy of the section of your policy that talks about weight loss surgery coverage.
If weight loss surgery is a “covered service” or “covered benefit,” it’s likely that your insurance will pay for the procedure and the visits associated with it. If weight loss surgery is an “excluded service,” you may not have coverage.
As you look for information about coverage, you’re not asking for “prior authorization” for surgery. That step comes later, after you’ve done your pre-surgery preparation.
The UMass Memorial Weight Center is here to help. Please call with questions before your appointment.