877-459-8080

Need Payment Options?

Whether you use insurance, choose to finance or decide on a cash payment plan, don’t get caught spending more money long-term. Surgical Weight Management Solutions offers three main payment options: insurance, a payment plan and self pay. Please contact one of our counselors who will determine which payment option works best for you. Each option can be explained in greater detail by calling or contacting us online.

Insurance
Most major insurance companies cover bariatric procedures as long as you meet their requirements. Your insurance may consider you a candidate for a weight-loss procedure if your BMI is at least 35 (with two underlying health conditions) or your BMI is 40 or greater (with no underlying health conditions). We have insurance experts on staff to help you get approved through the insurance process. Contact us to get started!

Paying for Your Weight Loss Surgery: A Discussion of Your Insurance Options
A growing number of states have passed legislation that requires insurance companies to provide benefits for weight loss surgery for patients who meet the National Institutes of Health surgical criteria. And while insurance coverage for weight loss surgery is widespread, it often requires a lengthy and complicated approval process. The best chance for obtaining approval for insurance coverage comes from working together with your bariatric surgeon and other experts. Click here to read about the key steps to be taken in order to obtain insurance coverage.

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Payment Plan
If you do not have insurance, do not meet your insurance requirements, or you have an exclusion on your policy, you can take advantage of our easy payment plans. Our payment plans include low interest rates and low monthly payments and no application fees. You can qualify with a quick over-the-phone application.

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Self Pay*
If you prefer, you may pay for your procedure in cash payments until your account is paid in full or you can make one cash payment and have no other obligations. Contact us today to discuss this cash payment option.
*At this time, self-pay is only available for the LAP-BAND®/REALIZE® BAND procedure.

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What is covered in each procedure?
See below for what is included with each procedure. Please feel free to Contact us with any questions.

Gastric Bypass (RYGB)
Included in RYGB:
• All pre- and post-operative office visits
• Surgical fee
• All routine hospital charges with up to 2 nights in hospital
• All routine pre-operative testing done at hospital (routine labs, chest x-ray,
EKG, upper GI)
• Pre- and post-operative bariatric educational materials
• Surgical fee for anesthesiologist

Sleeve Gastrectomy
Included in sleeve:
• All pre- and post-operative office visits
• Surgical fee
• All routine hospital charges with up to 2 nights in hospital
• All routine pre-operative testing done at hospital (routine labs, chest x-ray,
EKG, upper GI)
• Pre- and post-operative bariatric educational materials
• Surgical fee for anesthesiologist
• Pathology fee
• Psych fee

LAP-BAND/REALIZE BAND
Included in LAP-BAND/REALIZE BAND:
• All pre- and post-operative office visits and testing
• All routine pre-operative testing done at hospital (routine labs, chest x-ray, EKG, upper GI)
• Surgical fee
• LAP-BAND/REALIZE BAND fills for life
• Ambulatory surgical facility fee
• Surgical fee for anesthesiologist
• Psych fee

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If at any time you have any questions or concerns, please don’t hesitate to contact us. We will do whatever we can to help make this as easy as possible. We look forward to helping you.
IRVING 2001 N. MacArthur Blvd | Ste. 255 | Irving, TX 75061 | Toll-Free:877-459-8080
GRAPEVINE 2020 West Hwy. 114 | Ste. 180 | Grapevine, TX 76051 | Toll-Free: 877-459-8080
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key steps you should take to obtain insurance coverage for weight loss surgery:

  1. Read and understand the "certificate of coverage" that your insurance company is required by law to give you. If you do not have one, consult your company's benefits administrator or ask your insurance company directly.

  2. You may be required to start with your primary care physician. In some cases, he or she is the only one you can ask for a referral to a qualified bariatric surgeon. Even if you are not required to get a referral, it is a good idea to have the support of your primary care physician.

  3. Before visiting the bariatric surgeon, organize your medical records, including your history of dieting efforts. They will be valuable documents to have at every stage of the approval process.

  4. Document every visit you make to a healthcare professional for obesity-related issues or visits to supervised weight loss programs. Document other weight loss attempts made through diet centers and fitness club memberships. Keep good records, including receipts.

  5. If your bariatric surgeon recommends weight loss surgery, he or she will prepare a letter to obtain preauthorization from your insurance company. The goal of this letter is to establish the medical necessity of weight loss surgery and gain approval for the procedure. The following information is generally included in the pre-authorization letter:

    • Your height, weight and Body Mass Index and any documentation you might have as to how long you have been overweight.

    • Simply describing your condition as "morbid obesity" is not enough. A full description of all your obesity-related health conditions, including records of treatment, a history of medications taken and documentation of the effects these conditions have had on your everyday life is necessary.

    • A detailed description of the limitations your excess weight places on your daily activities, such as walking, tying shoes, or maintaining personal hygiene.

    • A detailed history of the results of your dieting efforts, including medically and non-medically supervised programs, medical records and records kept of payments to and meetings attended with commercial weight loss programs.

    • A history of exercise programs, including receipts for memberships in health clubs.

    • Ask your doctor to include information from medical journals regarding the effectiveness of weight loss surgery, particularly information showing the control or elimination of obesity-related health conditions.