Insurance is always a concern for anyone contemplating major elective surgery. We have 8 full-time Patient Advocates who facilitate the bariatric surgery insurance approval process for our patients. This team focuses solely on acquiring insurance approval for weight loss surgery. Upon inquiry into our practice, an advocate will be designated to address your individual preoperative needs. One of 8 advocates will walk you through the insurance maze and personally contact your insurance representative.

Louisiana Patient
Finance Program

There are several national lenders who offer a broad range of financing options to qualified patients who would like to pursue financing options to pay for weight loss surgery procedures when insurance coverage is not available. To assist in exploring bariatric surgery financing options, you can check with your local bank or utilize our preferred providers. Go to unitedmedicalcredit.com or medloanfinance.com to receive more information about the weight loss surgery finance options available to you. Our patient advocates are also available to guide our patients through this process. To reach a patient advocate, dial the number below.

Louisiana Cash pay Program

For our patients who do not have insurance that will cover surgical weight loss, we have developed affordable weight loss surgery cash pay prices. If you would like to learn more about our prices, visit the Weight Loss Surgery Cost, and read about extended complication coverage, or call our cash pay specialist at the number below.

Considering Leaving the Country For Your Bariatric Procedure?

The price of weight loss surgery outside the U.S. might be an attractive motivator in deciding who should perform your bariatric surgery. However, there are several things to think about if you’re considering having weight loss surgery out of the country.

  • The bariatric surgical programs at our affiliated hospitals offer extremely high standards of care with special training for our unique patient population.
  • You will likely lose weight over 12-36 months following surgery. The keys to success are proper follow up, adjustments, and YOUR COMMITMENT to lifestyle change.
  • Many variables must be monitored to assure your healthy success with weight loss. The Surgical Specialists of Louisiana  and Surgical Specialists offer nutritional counseling, gastric band adjustments (at no charge for one year), monthly support groups, and the experience to detect and treat possible complications.

 

Insurance Coverage Updates

As of April 9, 2010 Aetna has changed its position on reimbursement for the sleeve gastrectonomy and will now cover the procedure, This coverage will be the same as other bariatric surgery procedures covered by Aetna. Per the official Aetna coverage policy, “Aetna considers open or laparoscopic Roux-en-Y gastric bypass (RYGB), open or laparoscopic sleeve gastectomy, open or laparoscopic biliopancreatic deversion (BPD) with or without duodenal witch (DS) or laparoscopic silicone gastric banding (LASGB) medically necessary when the selection criteria are met.” (section criteria are detailed in the policy-0157). This policy has the potential to impact over 18 million livers covered by AetnaAs of February 1, 2011, Humana has changed its position on reimbursement for sleeve gastrectomy, and will now cover the procedure. This coverage will be for patients with a BMI greater than 50. This policy has the potential to impact Humana’s 10 million covered lives.

Optum Health Center of Excellence

optumhealth

Dr. Matt French, Dr. Buddy Leithead, Dr. Rachel Moore, Dr. Michael Thomas, Dr. Jimmy Redmann and Dr. Clark Warden have been approved bariatric surgeons for Optum Health Center of Excellence for United Health Care. Inclusion in this prestigious group means that each of these surgeons is nationally recognised for their high standards of care. Southern Surgical Hospital was designated the facility of choice to the Center of Excellence network.

Insurance Companies Honored By Our Practice

  • Aetna
  • AHS Mississippi State Group
  • Anthem BCBS
  • BCBS Federal
  • BCBS of AL
  • BCBS of CA
  • BCBS of FL
  • BCBS of GA
  • BCBS of IL
  • BCBS of LA
  • BCBS of MA
  • BCBS of MI
  • BCBS of MN
  • BCBS of NC
  • BCBS of NY
  • BCBS of RI
  • BCBS of SC
  • BCBS of TN
  • BCBS of TX
  • Benefit Management
  • Capital BCBS
  • CareFirst
  • CareFirst BCBS
  • Caremark BCBS
  • Champ VA
  • Cigna
  • Coventry
  • Empire BCBS
  • Excellus BCBS
  • GEHA
  • Gilsbar
  • Greatwest
  • Highmark BCBS
  • Horizon BCBS
  • Humana
  • Independence BCBS
  • Mailhandlers
  • Medical Mutual of OH
  • Medicare
  • PCIP
  • Peoples Health
  • PHCS
  • Tricare
  • UMR
  • United Healthcare
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