Financial and Insurance Information
Obtaining authorization from your insurance company for obesity weight loss surgery can be a challenging process. We will assist you in this process but your cooperation in providing the following documentation will improve your chances of obtaining approval:
- The name of a contact person at your insurance company along with the address to send predetermination or medical review requests.
- We need as much documentation as you can provide regarding your attempts at dieting and, in particular. any medically supervised diet plans, plus your current weight and height to calculate BMI.
- Documentation of any associated medical problems such as hypertension, diabetes, sleep apnea, or orthopedic problems. Letters from specialists or personal physicians in support of the surgery are particularly beneficial.
We can provide a questionnaire, which will assist you in organizing this information.
Depending on your insurance company, it may be necessary to first examine you in the office, (770) 425-5525, before your insurance company will consider a request for any type of bariatric surgery.
When we have all your information, we will prepare a letter to your insurance on your behalf. The cost of this is $100.00 and is non-refundable whether denied or approved.
Obtaining approval can take up to 4 weeks to complete. Many companies deny an initial request despite our policy of utilizing NIH national criteria in patient selection. In the event you receive a denial, you need to go through the proper channels and appeal. The appeal must come from the policyholder and many companies will back down and approve coverage when faced with a determined patient. We can recommend legal assistance if you receive an unreasonable denial.
We accept most private insurance plans and will arrange out-of-network benefits if available. You are responsible for deductibles and co-pay amounts as outlined in your policy.
For those patients who want to pay cash for the procedure, a discounted package rate is available that includes surgeons and assistant fees, hospital and anesthesia charges. All fees must be paid at the time of pre-op. Financing options are available; please call our office for more information.
For those who are researching bariatric surgery, or those who have had surgery and are looking for our pricing regarding our procedures, please contact our office.
Forms of Payment Accepted
For Office Visits – Cash, Personal Checks, Credit Cards (Visa, Mastercard, American Express), Debit Cards (Visa, Mastercard, American Express)
For Surgery Fees/Copays – Certified Bank Checks, Money Orders, Cash, Credit Cards (Visa, Mastercard, American Express). No Debit Cards accepted due to limitations. Make Certified Bank Checks payable to Videoscopic Institute of Atlanta, P.C.