WeightWise strives to make Bariatric Surgery as affordable and accessible as possible. Unfortunately, many insurance plans offer limited to no coverage for the various procedures. We know that many patients’ top concern is paying for their surgery and while we can’t answer every specific question, we hope the information below will provide a general overview of the various financing arrangements typically found at WeightWise.
There are four financing situations we generally encounter:
- Situation #1: No Health Insurance Coverage (all cash)
- Situation #2: Have Health Insurance, no Bariatric Surgery Benefits
- Situation #3: Have Health Insurance and Bariatric Surgery Benefits
- Situation #4: Have any Blue Cross Blue Shield plan
Situation #1: No Health Insurance Coverage (all cash)
The prompt pay discounted prices (pre-pay) below reflect uncomplicated hospital stays January through November each year:
- Laparoscopic Adjustable Gastric Band (LAGB)- $8,995
- Laparoscopic Roux-en-Y Gastric Bypass (LRnYGB) – $15,000
- Laparoscopic Gastric Sleeve (LGS) – $9,995
Single Anastamosis Duodenal Switch – $15,000
Revisional SADS – $13,000
Gastric Balloon – $7,495
The above prices cover the surgeon, assistant surgeon, anesthesia and an uncomplicated hospital stay. There will be additional charges for pre-operative services, additional procedures (such as an EKG, sleep study, etc.) and pre-payment of post-operative services. More information about these charges will be available at the informational seminar.
WeightWise does no internal financing. We work with a number of financing providers for any/all services at WeightWise. If you are interested:
- Care Credit (800-859-9975, www.carecredit.com)
- Allegiance Credit Union (405-789-7900, www.allegiancecu.org)
Situation #2: Health Care Insurance Coverage, but No Bariatric Surgery Benefits
We make every effort to verify health insurance benefits before the initial consultation. If no bariatric surgery benefits exist, the prompt pay rates for their actual surgical event apply (see above – Situation #1). The pre/post-operative visits with the surgeon as well as additional procedures such as EKG, sleep study and lab work are often covered by these policies.
For all covered visits, the patient should expect to pay the “specialist” co-pay specified by their insurance plan.
Dietitian and Exercise Physiology visits are always cash pay (we do not bill insurance).
Situation #3: Have Health Insurance and Bariatric Surgery Benefits
We make every effort to verify health insurance benefits before the initial consultation. After your consultation we will also follow up with your insurance company with a “Letter of Medical Necessity”. If bariatric surgery benefits exist, the patient will be responsible for applicable co-pays, co-insurance and deducible up to their out-of-pocket max.
Coverage for the surgeon’s portion of the procedure is wholly separate and distinct from coverage for services received from the hospital. Inquiries regarding hospital services may be directed to Summit Medical Center Business Office at 405-359-2488, Integris Baptist Medical Center Business Office at 405-951-4740 and OU Medical Center Business Office at 405-271-6892
Situation #4: Have Any Blue Cross Blue Shield Plans
Due to the complexities of being out of out-of-network with Blue Cross Blue Shield, all BCBS patients pay the prompt pay (prepay) price for the physician portions of their surgical stay. Those fees are listed below:
- Gastric Band Placement – $3,200
- Laparoscopic Roux-N-Y – $5,000
- Laparoscopic Gastric Sleeve – $3,700
If you have a BCBS plan with bariatric surgery coverage, we bill insurance on your behalf. Any funds paid for the operation are kept by the patient. If you have a BCBS plan with a bariatric surgery exclusion, Please refer to Situation #2.
Again, Coverage for the surgeon’s portion of the procedure is wholly separate and distinct from coverage for services received from Summit Medical Center. For inquiries regarding hospital services, please call the SMC Business Office at 405-359-2488.
All this information and more will be covered in the informational seminar. During the initial consult, a patient advocate will be assigned to guide you through the process. If you have questions at any time after the first consult, please contact your patient advocate.
These fees are discounted and subject to payment in advance, financing is available. If you accept the discounted fee, insurance will not billed for those services. Additional fees may or may not apply.