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Insurance coverage varies for weight loss surgery procedures. It is crucial that you call your insurance provider to determine if your policy covers surgical weight loss. As an integral part of our team, the insurance coordinator can answer questions and give you guidance when working with your insurance company to acquire approval to undergo one of the surgical weight loss procedures.
Insurance companies often require medically supervised diets than can span up to 6 months. If this is the case with your insurance and you do not have prior documentation, you will be required to obtain this information before our insurance coordinator will send your paperwork for approval.
We understand the importance of surgical weight loss procedures and will work with you every step of the way. If your insurance company denies the request for coverage of your weight loss surgery procedure, our insurance coordinator will discuss appeals and self-pay options with you.
Some insurance companies will make the decision about your weight loss surgery within a few weeks. Some insurance carriers take several weeks or months to return a decision. We will contact you when we have heard from your insurance provider. You may contact your insurance company to check on the status of your insurance approval as well.
Important Questions to Ask Your Insurance Provider
There have been times when inaccurate bariatric coverage information has been provided by the insurance provider to our office. We encourage all our patients to contact their insurance provider and ask the following questions regarding their coverage:
Do I have coverage for weight loss/bariatric surgery? Provide them with the diagnosis code E66.01.
What are the criteria for surgery?
BMI (body mass index)
Co-morbidities – how many and which medical conditions qualify
How many months of medical weight management are required prior to surgery?
Is my insurance plan self-funded?
Dr. Sheetal Patel is a Board Certified General Surgeon, and Fellowship trained Minimally Invasive and Bariatric Surgery. As specialists in minimally invasive (laparoscopic) and robotic surgery for obesity and metabolic syndrome, you can be assured you have selected the right surgeon for your bariatric procedure. Dr. Patel uses the Da Vinci Robotic System to perform robotic weight loss procedures, foregut surgery (hiatal/paraesophageal hernias) and uses single site robotic technology for the removal of the gallbladder.
Dr. Patel and her team of weight management experts provide a comprehensive weight loss system that helps patients achieve long-term results. Offering one-on-one personalized care before, during and after your procedure. 360 Bariatrics enables patients to lead healthy, happy and productive lives without experiencing unhealthy weight gain in the future. Dr. Patel offers free seminars and support groups for you monthly.
Published in multiple medical journals including Surgery for Obesity and Related Diseases, Obesity Surgery, Bariatric Times and Contemporary Surgery along with numerous research studies at the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery. Dr. Patel has not only the knowledge but the skill you would want to have with your surgeon. She is a member of the American College of Surgeons, the American Society for Metabolic and Bariatric Surgery, the Society of American Gastrointestinal and Endoscopic Surgeons, and the Texas Medical Association
Graduating Cum Laude from Baylor University in 1997 with a major in Biology and a minor in Chemistry, Dr. Patel then worked as a researcher in the Department of Plastic Surgery at the University of Texas Southwestern Medical Center. Dr. Patel went on to receive her Medical Degree from the Texas Tech University Health Sciences Center. She completed her residency training in General Surgery at the University of Illinois Metropolitan Group Hospitals in Chicago, Illinois.
As a Resident Physician, she was the recipient of the MVP Physician Excellence Award from the Advocate Illinois Masonic Medical Center. She received further specialized training at Cleveland Clinic Florida where she completed a Fellowship in Minimally Invasive and Bariatric Surgery.
Call or fill out the form to schedule your initial consultation with Dr. Sheetal Patel, so you can get back to living life to the fullest.
Dial 9-1-1 if this is a medical emergency