What is the likelihood of insurance approval?
Some of this depends on your insurance company and how the initial request for coverage was submitted. Some policies have specific exclusions for obesity surgery. These can be handled by the justification that the surgical treatment is recommended as the best therapy for the co-morbidities, which usually are covered. Coverage may be denied based on the lack of “medical necessity.” The insurance companies are normally looking for documentation that other forms of treatment (physician-supervised diet, for example) have been attempted and were not successful. also be denied for lack of “medical necessity”. You should always contact your insurance company’s benefits office to verify gastric procedures are not excluded from your policy prior to making your first appointment. This helps shorten the scheduling process.
