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Insurance authorization for gastric bypass surgery

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Every insurance company will have different ‘rules' for how and when it will agree to provide financial coverage for gastric bypass or other form of weight loss surgery. In addition to finding out the insurance company requirements, a decision will have to be made on whether the obese candidate will take a passive role or an active role in obtaining the insurance authorization for the surgery. The passive approach may work and  typically means that the obese person will be relying on the staff of a physician's (surgeon's), office to work through the process for the person's particular insurance company. This approach will typically be more anxiety producing for the obese surgical candidate because they may not know what is going on or even if anyone is actually working on their case. However, with a little faith, the tasks and requirements will be fulfilled and the job should get done, though it may take a longer period of time. The other approach is for the patient to be an active participant in the process, working directly with his/her insurance company to obtain authorization in a shorter period of time.  This can be more rewarding for the patient, as he/she may feel more "in control," but can also lead to frustration when obstacles are encountered along the way.

 

Regardless of the approach taken to obtain gastric bypass or other form of weight loss surgery insurance authorization, being familiar with the process is advantageous and should serve to reduce the anxiety of not knowing what is going on.

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