Insurance company policies regarding coverage of bariatric
surgery can vary widely. Coastal Center for Obesity's Billing Specialists will
work on your behalf to expedite approval whenever possible. The information
below is intended to answer some of your potential questions about our approval
Common insurances and what they require:
Use the "Go" link below and select your insurance company at the top
of the page.
Blue Cross of California
Blue Cross/Blue Shield
Blue Shield of California
Prospect (Medical Group)
To assist us, patients should provide our office with a copy of insurance
card(s) (front and back) by faxing to : 310-833-1146
Once our office receives your Health Questionnaire (available on
www.coastalobesity.com- New Patient Forms
the clinical staff will review the information and forward to the insurance
coordinators. We request authorization in a letter of medical necessity,
describing your condition(s) and the surgical procedure(s) to be performed.
The insurance company will then view the request. Some companies require
additional studies i.e. psychological evaluation, nutrition consult, lab
testing etc. Our Coordinating Department may also require additional
information and assistance from you. Please be prepared to provide the
following information if necessary:
Diet history including documentation of attempts at weight loss, both medically
supervised and non supervised.
List of current medications
List of primary care physicians or specialists treating your medical conditions
Supporting documentation of physicians who support your pursuit of surgery
Past surgical history with copies of operative reports
Days missed from work related to weight condition
What can I do to help Insurance Approval? This helpful document may simplify
your insurance approval procedure.
- Download the document.
If approved, the insurance company typically certifies you for a certain number
of days in the hospital. If denied, you may have an opportunity to appeal the
decision. We are happy to assist you in the appeal process, at your request.
Depending on the reasons for denial, we may refer you to an attorney who
specializes in appeals for bariatric surgery coverage. If denied, patients may
want to pay for their procedure through other means. The following link may be
useful to those of your considering using a credit union.
Need Assistance with Insurance? Financing?
LAP-BAND® Financing available.
Coastal Center for Obesity's LAP-BAND® patients can now finance all costs
associated with LAP-BAND®. LAP-BAND® can help you take control of your hunger,
lose dangerous excess weight and keep it off.
Call (888) 527 5222 or email us at firstname.lastname@example.org
Affordable Surgery Loans
At Image Finance we understand that plastic and cosmetic surgery can be very
expensive. But cost shouldn't stand in your way. Image Finance has created the
ultimate solution to expensive surgery. After five years of solid experience in
the industry, we now provide affordable surgery loans, including cosmetic
surgery loans and plastic surgery loans. We understand the cosmetic and plastic
surgery needs of our clients and we'll go the extra mile to guarantee
To find a Credit Union which may finance surgery go to: http://www.joinacu.org/
Apply FREE Today For Affordable Surgery
Legal Assistance for Obesity Issues:
www.obesitylaw.com - The Obesity Law & Advocacy Center is a full-service
private law firm devoted to representing morbidly obese persons in a
variety of legal matters. The firm handles all types of civil litigation
with an emphasis in:
Appeal and grievance proceedings challenging the denial of medically necessary
treatment for obesity and morbid obesity.
Employment discrimination, Americans With Disabilities Act (ADA) and wrongful
Prosecuting insurance and ERISA litigation against health insurers,
self-insured plans and HMOs related to the unreasonable denial of benefits for
treatment of obesity and morbid obesity.
Administrative law hearings and related litigation against public agencies
denying medically necessary treatment of obesity and morbid obesity.
Personal injury, insurance, employment, general business and civil litigation.