Insurance Process
Verification of insurance benefits will be confirmed by a LHH MMIBS Insurance Specialist. The complete and accurate information you provide on the Patient Registration Form is very important for us to complete this process.
You may be required to begin with your primary care physician to ask for a referral to one of our bariatric surgeons. Even if you are not required to get a referral, it is good to have the suppport of your physician. Our surgeons will be coordinating care with your physician of choice.
Most insurance companies that cover bariatric surgery require submission of your personal indications showing that you meet their criteria. Required documentation may include:
- Attendence at an Educational Seminar and a consultation with one of our bariatric surgeons.
- Documentation of failed attempts to lose weight through physician-supervised diets. Length of weight loss attempt varies by insurance company. Check with your insurance company for their specific requirements.
- Proof of morbidly obese status for 2, 3, or 5 years
- Psychological evaluation
- Nutritional consultation
- A complete history and physical exam by your primary care provider
- Patient consent for surgery indicating that you understand the surgery, the risks involved and the alternatives to surgery
Some insurance companies require criteria that may vary from the list provided. Whenever possible, our program staff will confirm what the requirements and guidelines are. Some insurance companies are now requiring proof that you have tried and failed to lose weight on a medically supervised diet for 6 months or, in some cases, a 3 month multi-disciplinary program.
To assist in obtaining insurance approval, Lenox Hill Hospital / Manhattan Minimally Invasive & Bariatric Surgery Program will submit your documentation to the insurance company.
Patients will be responsible for gathering any medical records, test results and information needed from outside providers.
Surgery will be scheduled upon receipt of pre-determination approval from your insurance company.
Am I A Candidate?