Insurance Coverage Information

Insurance companies vary greatly in what they cover and what you must do before enrolling in a program or scheduling surgery. If you are considering weight-loss surgery, checking insurance coverage is an important early step. Most policies cover weight-loss surgery, but a few don’t cover it at all, and some cover only certain types of surgery. In addition, some companies have special requirements for preparation.

Insurance Information for New Patients Considering Surgery

We have a helpful checklist of questions to ask when speaking with your insurance company about coverage, deductibles and copays for weight-loss services and surgery. And if you're not sure, contact us. We've helped more than 4,000 people reach their weight-loss goals, so we've worked with nearly every insurance company--we've probably worked with yours, too. 

Review your policy before you come to the Weight Center for your first appointment. If possible, bring a copy of the section of your policy that talks about weight loss surgery coverage.

  • If weight loss surgery is a “covered service” or “covered benefit,” it’s likely that your insurance will pay for the procedure and the visits associated with it. If weight loss surgery is an “excluded service,” you may not have coverage.

  • As you look for information about coverage, you’re not asking for “prior authorization” for surgery. That step comes later, after you’ve done your pre-surgery preparation.

  • Contact information for your insurance company is usually on your insurance card. Calling or checking the company’s website can provide the information you need.
 
Use the following checklist to determine if you are ready for your first Weight Center appointment:
  • You know the name of your insurance company and the policy you have.
  • You have written information about whether your policy covers weight loss surgery.
  • You have written information about your policy’s requirements for pre-surgery preparation.

The UMass Memorial Weight Center is here to help. Please call with questions before your appointment.

MBSAQIP

UMass Memorial Weight Center
55 Lake Avenue North
Worcester, MA 01655
Tel: 774-443-3886