Insurance for Bariatric Surgery

ASA accepts a wide range of private insurance plans as well as Medicare options for those who qualify. Though our program has a set of qualification criteria, insurance companies will require additional documentation for coverage. While each insurance company has a unique set of criteria, patients may need to provide the following documentation as proof that they qualify for surgical intervention for obesity. This is a general guide to what may be expected, however please contact your insurance company to determine their exact requirements.

  1. Patients must have a BMI of 35 or over with an obesity-related disease or a BMI of 40 or over
  2. A letter of medical necessity from both your primary physician and our office.
  3. Provide a food and exercise journal detailing past attempts at non-surgical
  4. Provide evidence of one or more obesity-related diseases, including type II diabetes, high cholesterol, high blood pressure and sleep apnea
  5. Enrollment in a medically-supervised diet program for three to six months

Medicare does not offer pre-approval for surgery. It also may have additional requirements. If you intend to finance your procedure through a public provider, please ensure that all of their qualifying criteria have been met before surgery. You may also be asked to sign a letter of financial responsibility in case of denial.

Advanced Surgical Associates is one of the first exclusively surgical groups practicing in Union County New Jersey. And that is just the first of many firsts for ASA. For over 40 years, we have pioneered breakthrough surgical patient care in North Jersey in both general and weight loss surgery. ASA also offers gastric bypass, gastric sleeve and gastric banding to those suffering from obesity in New Jersey.
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