Treatment FAQ

what can i expect for my bariatric treatment costs?

by Geovanny Crooks Published 3 years ago Updated 2 years ago

The average cost of gastric bypass surgery is $23,000, the average cost of lap band is $14,500, and the average cost of sleeve gastrectomy surgery is $14,900. So before getting too involved, spend time determining if your insurance will cover weight loss surgery.May 5, 2022

Full Answer

How much does bariatric surgery cost?

Here are some of the most common types of bariatric surgery: So let’s take a look at these different surgeries and the cost associated with each. Gastric Sleeve Surgery typically cost $14,500 depending on various factors. Most insurance companies will require a co-pay of at least a few thousand dollars.

Does health insurance cover bariatric surgery?

Some surgeries are unsuccessful for weight loss reduction in some patients, and this cost takes into account revisions of some of the surgeries to further help induce weight loss. With the high costs associated with Bariatric Surgery, it may lead to the question of using health insurance to cover the cost; Either partially or completely.

What is bariatric surgery and how does it work?

Bariatric surgery is a weight loss surgery designed to change your digestive system by limiting how much you can eat or absorb. It helps fight the problem at its core; And while this may be a SUPER effective way of losing weight, It can definitely be expensive.

How long does it take to get insurance approved for bariatric surgery?

The entire bariatric surgery insurance approval process takes between 1 and 12 months. The approval process usually happens in these steps: Complete 3 to 7 consecutive months of a medically supervised diet program. Schedule a consultation with your bariatric surgeon.

What is the total cost of weight loss surgery?

Insurance and Bariatric Surgery: What You Need to Know Bariatric surgery can cost between $15,000 and $23,000. Most people who have a bariatric procedure can because bariatric surgery is a covered benefit under their health insurance plan.

What is the 30 30 rule for bariatric?

This guideline has four parts: Chew your food 30 times. Take 30 minutes to eat. No drinking 30 minutes before your meal, during your meal, or until 30 minutes after your meal.

How much do you have to pay for gastric sleeve?

To be eligible for bariatric surgery, you must be between 16 and 70 years of age (with some exceptions) and morbidly obese (weighing at least 100 pounds over your ideal body weight and having a BMI of 40).

What can I expect at my bariatric consultation?

What should I expect at my initial consultation? This visit is normally to discuss your surgical options, review and discuss insurance benefits or surgery payment options, review and discuss pre/post op diet requirements. This visit may last an hour or more.

Are pretzels OK for bariatric patients?

Do not eat non-nutrient-dense foods such as pretzels, rice cakes, and animal crackers. Drink 8 ounces of skim or soy milk for a snack three times a day.

What foods Cannot be eaten after bariatric surgery?

Here are eight foods to avoid after bariatric surgery: Food with Empty Calories. ... Alcohol. ... Dry Foods. ... Bread, Rice, and Pasta. ... Fibrous Fruits and Vegetables. ... High-Fat Food. ... Sugary and Highly Caffeinated Drinks. ... Tough Meats.

Can you get gastric bypass at 200 lbs?

Learn your body mass index A BMI range of 18-24.9 is considered optimal. Morbid obesity is defined as a BMI score of 40 or more. You typically qualify for bariatric surgery if you have a BMI of 35-39, with specific significant health problems like Type 2 diabetes, sleep apnea or high blood pressure.

How heavy is a bariatric patient?

Obesity is classified using the body mass index (BMI), in which weight (kg) is divided by height squared (m2). For the purpose of this guideline, 'bariatric' refers to all patients assessed as being heavier than 158 KG (25 Stone) stone or with a body mass index BMI above (>40kg/m2).

How much weight do you have to lose before bariatric surgery?

Some patients are required to lose 10 percent of their weight before weight-loss surgery is performed. For other patients, losing just 15 to 20 pounds right before surgery is enough to reduce the risk of complications. It's important to follow your surgeon's pre-surgery diet and nutrition guidelines.

How do I prepare for a bariatric consultation?

Preparing For Your Surgical Weight Loss Consultation At the outset, be prepared to answer a few questions about your diet, your health history and your family history. These help give us a baseline to work with, and oftentimes this involves a little bit of paperwork.

What should I ask my bariatric surgeon?

10 Questions to Ask your Bariatric SurgeonDo I qualify for a surgical or non-surgical bariatric procedure? ... What type of medical tests do I need before surgery? ... What risks are involved with the procedure? ... How quickly can I expect to start losing weight? ... Is the procedure reversible? ... How long is the recovery process?More items...•

How long is the process for bariatric surgery?

Weight loss surgery requires a commitment to lifestyle changes, including what you eat and how often you exercise. We help you set the groundwork, so you're mentally and physically prepared for life after bariatric surgery. The entire process, from consultation to surgery, generally takes about six months to complete.

How Much Is Bariatric Surgery?

If your doctor recommends lap band surgery, you might be looking at a $14,000 price tag. Gastric sleeve surgery costs about $15,000, while gastric bypass surgery is over $20,000. For most people, the average cost of bariatric surgery is well out of their price range. In fact, many people never get this surgery because they don't have good insurance coverage and don't have enough credit to take out a loan.

What is bariatric health and wellness?

Bariatric Health and Wellness offers a wide range of solid and liquid foods that help you stick to your diet. Our products are specifically made for people who have undergone bariatric surgery. Instead of buying food from the grocery store and hoping that it works, you can buy food designed by professionals who know what your body needs after your surgery. Check out our selection today on our website.

What Should You Do After the Surgery?

You'll also have to stick to a diet that starts with liquids and gradually transition to solid foods. Otherwise, you might experience complications after the surgery or even defeat the entire purpose of getting surgery.

Why don't people get bariatric surgery?

In fact, many people never get this surgery because they don't have good insurance coverage and don't have enough credit to take out a loan. Even if you don't think you can afford it, you can talk to your doctor about bariatric surgery. Your doctor can give you more information about the average cost of bariatric surgery in your area.

Is gastric bypass surgery cheap?

Gastric bypass surgery could change your life, but it doesn't come cheap. Many people avoid getting the surgery because the bariatric surgery cost is out of their price range. Fortunately, your insurance company might be willing to help you pay for the surgery. Other people take out loans that help them pay off their surgery over the course ...

Can you lose weight with gastric bypass surgery?

If you've struggled to lose weight over the years, your doctor might recommend bariatric surgery. This type of surgery reduces the size of your stomach, making it easier for you to eat smaller amounts of food. Bariatric surgery isn't a magic cure-all — you'll still have to stick to a diet and exercise regimen to keep the weight off. However, gastric bypass surgery can kick-start your weight loss journey and help you achieve goals that you never thought were possible.

Does insurance cover weight loss surgery?

Health Insurance. Many health insurance companies offer coverage for weight loss surgery, but you'll have to check your plan first. You might have to get extra coverage during the enrollment period. This will probably increase your monthly premiums, but it's still cheaper than paying tens of thousands of dollars out of pocket.

How much does bariatric surgery cost?

The cost of bariatric weight loss surgery is typically about $25,000. In general gastric bypass surgery procedures are more expensive, costing in the range of $18,000 to $35,000, while gastric banding procedures run from $17,000 to $30,000. The cost of surgery includes the following fees:

Is weight loss surgery a high cost procedure?

Many surgeons understand that weight loss surgery is a high cost procedure that yields beneficial life-changing results, so they are often willing to assist patients by providing information on available financing programs and payment plans. Make easy, affordable payments for your procedure with Compassionate Finance.

Is weight loss surgery a financial decision?

While the choice to undergo weight loss surgery is an important medical decision, for many, it is a significant financial decision as well. Because weight loss surgery can cost patients thousands of dollars, many insurance companies and financial lenders offer assistance to help make payment more manageable.

Does insurance cover weight loss surgery?

Although insurance companies are slowly beginning to warm up to the idea that obesity surgery can actually save them money in the long run by preventing future medical problems, most companies still balk when it comes to the idea of covering the cost of weight loss surgery for obesity.

Is bariatric surgery covered by insurance?

Convincing insurance companies that bariatric surgery is medically necessary is likely to be the biggest hurdle patients face. It is important that patients understand the insurance approval process and play an active role in pursuing coverage for the cost of bariatric surgery.

Strategies for Saving Money

The best option for saving money on bariatric surgery is to get your insurer to cover it.

Cost Savings Over Time

Research consistently shows that achieving and sustaining significant weight loss is very challenging. Even when people do manage to lose the weight, about 80 percent regain it. Bariatric surgery offers an alternative when other weight loss strategies fail.

How much does bariatric surgery cost?

Insurance and Bariatric Surgery: What You Need to Know. Bariatric surgery can cost between $15,000 and $23,000. Most people who have a bariatric procedure can because bariatric surgery is a covered benefit under their health insurance plan.

What percentage of overweight people saw improvement?

10% of their excess weight saw improvement, and in some cases complete resolution of, chronic health conditions, such as diabetes and high blood pressure.

Is bariatric surgery good for weight loss?

In addition to lowering your risk for certain health complications, undergoing bariatric surgery can help you eliminate the unexpected costs that can come with being overweight.

How much does fuel efficiency go down?

Increased fuel costs: Studies have shown that for every additional 100 pounds placed in a car, the vehicle’s fuel efficiency goes down by up to 2%, according to the U.S. Department of Energy.

Does plus size clothing cost more?

Higher clothing costs: Many clothing stores charge more for plus-size clothing, especially women’s clothing, compared to similar styles in regular sizes. No matter how overweight you are, losing even a modest amount of weight can significantly improve your health. Studies show that people who lost:

Does being overweight put a strain on your wallet?

You may be surprised to learn that being significantly overweight can put an extra strain on your wallet. Some unexpected costs associated with obesity include:

Do you have to pay for surgery out of pocket?

You must pay for these services out-of-pocket. You will need to pay any out-of-pocket costs before surgery: In most cases, you will need to pay for a portion of your care out-of-pocket. The amount you pay depends on your insurance benefits and must be paid in full before surgery.

How can bariatric surgery cost be lowered?

Your bariatric surgery cost can be lowered in 4 ways: Your medical insurance can pay for it. You can ensure that your surgeon offers competitive pricing vs. other practices. You can get a medical loan with affordable monthly payments. You can see if you qualify for tax write-offs.

How much does weight loss surgery cost?

This varies widely by surgeon and hospital. Different surgeons in the same city can have a price difference of $5,000 to $10,000 or more.

How many employees can you add to a bariatric plan?

Convince your company to add it to your plan. If you work for a company with 50 or more employees, they decide if your plan includes bariatric surgery. There are many good business reasons for adding it that they may respond well to. Click here for information to share with your HR department.

How much does gastric sleeve surgery cost?

But there is a big cost difference between states. For example, gastric sleeve surgery averages $19,228 but ranges from $12,144 in Nevada to $58,696 in Alaska.

When do weight loss surgery deductibles reset?

The amount you share depends on your Coinsurance percentage (see below). Deductibles reset on January 1st. As a result, many weight loss surgery patients “rush” to get a surgery date before the end of each year.

How much does short term disability pay?

Short term disability insurance (STD) usually pays 2/3 of your salary for the first 90 or 180 days of your recovery. Disability insurance usually includes pre-existing conditions limitations. The best way around this is to sign up during the initial enrollment period (when you’re hired).

How much does disability pay?

Short term disability insurance (STD) usually pays 2/3 of your salary for the first 90 or 180 days of your recovery.

How Much Does Bariatric Surgery Cost?

The first factor that goes into determining the cost of bariatric surgery is the type of procedure performed. The most popular weight loss procedures in use today include:

How much does it cost to get a gastric balloon?

You will eat less as a result, leading to rapid weight loss. Patients average around 10% weight loss while other reports indicate weight loss between 15% and 20%. You can expect to spend between $6,000 and $9,000 for a round of gastric balloon treatment, which lasts for around six months.

How much does lap banding cost?

Patients go on to lose 25% or more of their excess weight for a total cost ranging from $9,000 to $18,000.

Does insurance cover bariatric surgery?

You may find that you need a letter of necessity from your doctor, which states that bariatric surgery is needed for health reasons. Health insurers often want to see proof that you have tried to lose weight through conventional means. They do it before giving the green light for coverage. You may need to show receipts for gym classes, nutrition programs, and possibly proof of a psychological examination.

Is a BMI of 40 considered obese?

The body mass index or BMI scale considers someone with a 25 BMI to be of normal weight. BMIs of 40 and above are considered morbidly obese or severely obese. If you fall within these categories, you may face rising medical costs to the tune of tens of thousands of dollars over the next five to ten years. You could’ve already paid off a weight loss procedure and enjoyed a slimmer, healthier body in that same span of time.

Can you ask friends to help with weight loss surgery?

Asking friends, family, and internet strangers to help cover the costs of your weight loss surgery may feel awkward at first. But you must remember that you’re not doing this for vanity’s sake. Bariatric surgery is about more than slimming your body down and looking your best. It’s about taking back control of your health. It’s about regaining mobility and reinvigorating your love of life. Put your crowdfunding description in those terms and you’re bound to find a few sympathetic folks willing to donate their share.

Do you need follow up care for bariatric surgery?

Rarely do patients look beyond surgery to any degree before the procedure has occurred. However, you should know that you will be receiving follow-up care. This care is necessary for helping you achieve your health goals. It can include nutritional counseling, psychological support, and follow-up appointments with your bariatric surgeon. Each of these elements carries its own set of fees.

How much does bariatric surgery cost?

Your out-of-pocket bariatric surgery cost can range anywhere from $0 to $20,000 or more depending on several factors, including:

How much weight can I lose with bariatric surgery?

Depending on the type of bariatric surgery you choose, the typical patient can expect to lose anywhere from 25% to 80%+ of their excess weight. As a guideline, your initial goal should be to get your body mass index below 30 (to figure out how many pounds getting to a BMI of 30 will equal for you, see our How to Calculate BMI page. A BMI of 25 is possible, but 30 should be the real target as that’s where many of the obesity-related health conditions begin to show significant improvement. (By the way, your body doesn’t want you too thin. Moderately overweight people actually live longer than those at “normal” weight ( 2 ).

Will your family and friends be supportive of your bariatric treatment?

Making sure you have a good support network before and after surgery has been shown in several studies to help you heal faster and to increase the likelihood that you will keep the weight off over the long term ( 3 ).

Are you willing to do whatever it takes to make your bariatric treatment successful?

Here’s an important exercise that will help you answer this question thoroughly and honestly.

Have you thoroughly explored other treatments for obesity, including diet and exercise plans?

If you’re convinced that further attempts at losing weight on your own will be unsuccessful, professional help could be the answer. A study published in the Journal of the American Medical Association found that most patients are more open to losing weight under a doctor’s supervision ( 1 ).

Are you severely obese (BMI 35+)?

According to the National Institutes of Health guidelines, you could be a good candidate for bariatric treatment if one of the following applies…

What is bariatric source?

Bariatric Surgery Source is your eyes and ears for bariatric treatment-related research and updates, but you should always follow the advice of your doctors when determining what’s best.

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