Insurance
Dealing with insurance approval can be a frustrating
step in the pre-surgery process. Approval can
take a week or up to several months. The Penn
Bariatric Surgery team is very experienced with
the insurance approval process and will do everything
possible to ensure that the process is expedited
as efficiently as possible.
The authorization process will be initiated upon
completion of any identified pre-requisites. To
assist in making this process proceed as smoothly
as possible, please obtain the following prior
to your screening appointment:
- If required by your insurance provider, a
written copy of the insurance referral from
your primary physician.
- A copy, front and back, of your insurance
card.
It is important to remember that your insurance
may pre-approve your surgery yet not authorize
it. Pre-approval means the insurance company will
cover the surgery if they determine that it is
a medical necessity. It does not guarantee final
authorization. The insurance approval process
is the responsibility of the surgeon's office.
If authorization for surgery is denied by the
insurance company, you have the right to appeal.
Some patients have successfully reversed insurance
denials. This can be a complicated and lengthy
process, but rewarding.
While waiting for the insurance authorization,
utilize this time by attending support group meetings,
talking with other pre- and post-op bariatric
patients, or beginning an exercise program. Also,
begin to incorporate recommended dietary habits
that will aid in preoperative weight loss and
promote long-term success. This is valuable time
that can be used to develop a healthier lifestyle.
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