The Cost of Bariatric Surgery: Understanding Insurance Coverage

Bariatric Surgery

and Health

For those contemplating bariatric surgery, the cost can seem daunting, and insurance coverage and health implications are a primary concern. Bariatric surgery is a highly effective intervention for severely obese individuals, however the costs and insurance coverage for this type of procedure can be tricky to navigate. This guide will provide a better understanding of the cost of bariatric surgery, insurance coverage, and health considerations.

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The Cost of Bariatric Surgery

Bariatric surgery costs can vary significantly depending on geographical region and insurance coverage. Roux-en-Y (RNY) gastric bypass is one of the most popular and commonly performed procedures and can range in cost from $11,500 to $26,000. Other common bariatric surgeries are gastric sleeve, laparoscopic adjustable gastric band, and duodenal switch, with corresponding prices of: $14,500 – $25,000, $13,000 – $17,500, and $22,000 – $35,000, respectively. Costs for each procedure also include additional related pre-operative costs.

Bariatric Surgery Insurance Coverage

Understanding how to maximize health insurance coverage for bariatric surgery is key in minimizing out-of-pocket costs. Most health insurance policies provide some coverage for bariatric surgery, although out-of-pocket costs may still be significant. It is important to fully review one’s health insurance policy for coverage limits, policies for pre-authorization, and acceptance of specific types of bariatric surgery.

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Health Considerations for Bariatric Surgery

In addition to costs and insurance coverage considerations, potential risks of surgery are important factors to consider before committing to bariatric surgery. Risks of bariatric surgery include risks of anesthesia, pulmonary complications, infection, leakage at incisions, and gastrointestinal obstruction. Following surgery, there are additional health implications to consider, such as dietary changes, vitamin deficiencies, and life-long medication management.

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Conclusion

The cost and insurance coverage considerations of bariatric surgery can seem overwhelming, but by knowing what to expect, potential cost savings, and potential health risks, the process can be navigated more efficiently. By researching these considerations, the decision to undergo bariatric surgery can be made with confidence.