There can be many challenges to obtaining gastric bypass financing including difficulties in dealing with insurance restrictions as well as finding outside lending opportunities. Bariatric surgery is very serious and can require as much as four days in the hospital along with weeks of recovery. It can also be a very expensive procedure. While many insurance policies may cover this operation, there can be a number of qualifying factors. For example, a patient will usually need to provide documented evidence of failed attempts at weight loss through less drastic means. The degree of obesity will come into question as well. Only those who can be categorized as morbidly obese will generally qualify for coverage. This means that the patient will need to be at least eighty pounds or more overweight.
Such qualifications are part of the standards of medical necessity that most insurance providers will insist upon. Some policies may agree to pay for the operation, but will only do so by reimbursement that may come months later. When this is the case, the patient will usually need to find some kind of outside gastric bypass financing until the insurance reimbursement check arrives. These reimbursing providers will wait to send payment to make sure that the patient follows a specific regimen after surgery and actually looses weight. Failure to do so could cause the insured individual to forfeit coverage for this procedure.
Some of the expenses that may be needed when obtaining gastric bypass financing could include charges for the hospital stay, doctor's fees, anesthesiologist fees, laboratory charges, radiology charges, and a number of other expenses. All told, the cost of the procedure could run into the tens of thousands of dollars. Usually, a patient can be advised as to the amount of money that they will need to pay out of pocket for the operation before any surgery takes place. There are a number of different types of insurance policies that may cover the costs of this surgery, eliminating the need for outside gastric bypass financing. Preferred provider policies may provide coverage so long as the patient chooses from a list of medical professionals that is supplied by the insurance company. Indemnity insurance policies will require the insured individual to pay twenty percent of the cost while they pay eighty percent. Deductibles may apply as well. Some policies will fall under the category of managed care. It can be more difficult to obtain coverage with these organizations since they will have the most stringent medical necessity standards.
In some cases, Medicare may offer coverage for bariatric surgery. If coverage is denied, it is possible to appeal the decision. If it can be conclusively proven that the coverage for this procedures is a matter of life and death for the insured individual, many insurance providers will relent in the face of a persistent and persuasive appeal. For some, a less invasive procedure may be available. Gastric band surgery involves an adjustable band that is placed around the upper area of the stomach. This surgery can be less expensive since the hospital stay and the recovery time are shorter. It may be easier to obtain gastric bypass financing for this procedure.
Many weight reduction centers will offer potential patients help with obtaining gastric bypass financing. Financial counselors are available at many treatment facilities and these counselors can help patients deal with insurance issues. They can also help bariatric surgery candidates see whether or not their health insurance policy will cover the costs of the operation. If no coverage is available, these counselors can work with patients and lending organizations to obtain gastric bypass financing. Since the terms that are associated with both insurance coverage and lending opportunities can be somewhat confusing, it can be helpful to have a trained professional lead a potential patient each step of the way. The Bible recommends that believers share an abundance of love with others as a way to model Godly behavior toward their fellow man. "And the Lord make you to increase and abound in love one toward another, and toward all men, even as we do toward you." (1Thessalonians 3:12)
The costs of follow up care will need to be considered as well. This care could include meeting with nutritionists for advice on a healthy post surgery diet. The need for follow up visits with the surgeon and other physicians is also important. In many cases, a bariatric surgery center may also help a patient put together a program for cardiovascular exercise following surgery and recovery. Many health insurance plans will make provisions for payment for these ongoing services. Continuing to work with a patient as they adjust to their post surgery body is very important and should not be overlooked simply for cost saving reasons.
When seeking outside gastric bypass financing, a patient can apply with lending agencies that specialize in coverage for procedures of this nature. Bariatric treatment centers may be able to help patient locate and apply with potential lenders. The terms for this financing can vary but some providers so not charge patients interest for the first twelve months. Payment terms can stretch from one year to five or more years. Deferring the first payment for a few months may be an option as well, giving the patient a chance to recuperate and get back to work before assuming a monthly liability. Whatever choice a patient might make, finding a means of payment for this life saving procedure need not be an impossibility.
Such qualifications are part of the standards of medical necessity that most insurance providers will insist upon. Some policies may agree to pay for the operation, but will only do so by reimbursement that may come months later. When this is the case, the patient will usually need to find some kind of outside gastric bypass financing until the insurance reimbursement check arrives. These reimbursing providers will wait to send payment to make sure that the patient follows a specific regimen after surgery and actually looses weight. Failure to do so could cause the insured individual to forfeit coverage for this procedure.
Some of the expenses that may be needed when obtaining gastric bypass financing could include charges for the hospital stay, doctor's fees, anesthesiologist fees, laboratory charges, radiology charges, and a number of other expenses. All told, the cost of the procedure could run into the tens of thousands of dollars. Usually, a patient can be advised as to the amount of money that they will need to pay out of pocket for the operation before any surgery takes place. There are a number of different types of insurance policies that may cover the costs of this surgery, eliminating the need for outside gastric bypass financing. Preferred provider policies may provide coverage so long as the patient chooses from a list of medical professionals that is supplied by the insurance company. Indemnity insurance policies will require the insured individual to pay twenty percent of the cost while they pay eighty percent. Deductibles may apply as well. Some policies will fall under the category of managed care. It can be more difficult to obtain coverage with these organizations since they will have the most stringent medical necessity standards.
In some cases, Medicare may offer coverage for bariatric surgery. If coverage is denied, it is possible to appeal the decision. If it can be conclusively proven that the coverage for this procedures is a matter of life and death for the insured individual, many insurance providers will relent in the face of a persistent and persuasive appeal. For some, a less invasive procedure may be available. Gastric band surgery involves an adjustable band that is placed around the upper area of the stomach. This surgery can be less expensive since the hospital stay and the recovery time are shorter. It may be easier to obtain gastric bypass financing for this procedure.
Many weight reduction centers will offer potential patients help with obtaining gastric bypass financing. Financial counselors are available at many treatment facilities and these counselors can help patients deal with insurance issues. They can also help bariatric surgery candidates see whether or not their health insurance policy will cover the costs of the operation. If no coverage is available, these counselors can work with patients and lending organizations to obtain gastric bypass financing. Since the terms that are associated with both insurance coverage and lending opportunities can be somewhat confusing, it can be helpful to have a trained professional lead a potential patient each step of the way. The Bible recommends that believers share an abundance of love with others as a way to model Godly behavior toward their fellow man. "And the Lord make you to increase and abound in love one toward another, and toward all men, even as we do toward you." (1Thessalonians 3:12)
The costs of follow up care will need to be considered as well. This care could include meeting with nutritionists for advice on a healthy post surgery diet. The need for follow up visits with the surgeon and other physicians is also important. In many cases, a bariatric surgery center may also help a patient put together a program for cardiovascular exercise following surgery and recovery. Many health insurance plans will make provisions for payment for these ongoing services. Continuing to work with a patient as they adjust to their post surgery body is very important and should not be overlooked simply for cost saving reasons.
When seeking outside gastric bypass financing, a patient can apply with lending agencies that specialize in coverage for procedures of this nature. Bariatric treatment centers may be able to help patient locate and apply with potential lenders. The terms for this financing can vary but some providers so not charge patients interest for the first twelve months. Payment terms can stretch from one year to five or more years. Deferring the first payment for a few months may be an option as well, giving the patient a chance to recuperate and get back to work before assuming a monthly liability. Whatever choice a patient might make, finding a means of payment for this life saving procedure need not be an impossibility.
0 коммент.:
Отправить комментарий