Although weight loss is important for your health, your insurance provider may not pay for bariatric surgery. Contact your insurance provider to see if it provides coverage for weight loss surgery or bariatric surgery if considered medically necessary. Insurance providers typically do not pay for dietary counseling.
If your insurance provider covers bariatric surgery, you will still be responsible for co-pays, deductibles, and co-insurance. Most insurance carriers have rigorous requirements that you must meet before you receive approval for bariatric surgery. This may include, but is not limited to, six months or more of physician-supervised dieting, a three- to five-year history of being morbidly obese, extensive records, a dietician assessment, monthly visits with a dietician, psychological clearance, medical testing, etc. Each carrier and each policy have different requirements. Please be patient as we work with you and your insurance provider to obtain approval.
You also have the option of avoiding all of the extra requirements to get bariatric surgery by going the self-pay route.
For those that do not have insurance coverage for weight loss or bariatric surgery, below is the self-pay pricing.
Fees from Dennis L. Fernandez, M.D., P.C.
Initial office-consultation: $ 175.00
Follow-up appointments: $ 65.00**
Fees from Crestwood Medical Center
Laparoscopic Sleeve Gastrectomy: $4,225.00***
Roux-en-Y Gastric Bypass: $8,000***
Anesthesia: $ 800.00 if paid in advance or $2,400.00 if not paid in advance
Physynergy contact: Betty, 256-469-7895, Option #2
Pathology: $ 172.00 to $277.00
Fees from Huntsville Hospital (include anesthesia pre-op evaluation, anesthesiologist fee, post-op UGI and reading fee, one day inpatient hospital care, pathology)
Laparoscopic Sleeve Gastrectomy: $5,200.00****
Roux-en-Y Gastric Bypass: $9,100****
*Does not include fee for initial consultation and fee for follow-up appointments outside of the 90-day global period.
**Follow-up appointments within 90 days from the date of the surgery are covered in the surgery fee.
***Must be paid 48-hours in advance. Call pre-registration at 256-429-4878 and ask for Donna.
****All fees must be paid in full a minimum of two weeks prior to the date of surgery. Should overnight inpatient care or observation care be provided, additional day(s) will cost $750.00 each.
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