Insurance For Gastric Sleeve Surgery: Will It Pay For The Full Fee Of The Entire Surgery?




The gastric sleeve is fast becoming the best choice for individuals who are considering having a bariatric treatment. With this increasing demand, a lot of insurance providers are now offering insurance for gastric sleeve surgery. The cost of surgery could be $10,000 and above, in some instances up to $20,000 or more.

The policy coverage for the gastric sleeve surgery might vary from state to state, plus it also depends on the insurance provider. As of the moment, only Aetna, Cigna, Emblem Health, Health Net, Medica, Health Care Service are some of the various service providers that are providing insurance for gastric sleeve surgery primarily for those patients who can meet the criteria to be able to get insurance coverage.

In the U.S., they have a health plan for residents 65 years of age and over which is known as Medicare. Though it currently does not include the cost of the gastric sleeve because this is a health plan for those low income persons and their families.

The insurance for gastric sleeve surgery generally includes only the amount for anesthesia, the hospital's facility and the surgeon's professional fee. But there are also a few insurance providers that will include the payment for the entire bill, however some others are only prepared to pay 80% of what will be viewed as the "usual and customary" fees for the procedure. The "usual and customary" fees might differ with each unique case as decided by the insurance company. There are different insurance companies that need a co-pay amount which may vary from a small sum to more than $5,000.

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