Insurance and Costs*
It is very important that you contact your insurance company prior to making an appointment with us. You need to ask a customer service representative: “Does my policy cover bariatric surgery?” If you know the procedure you want, please specify this to the customer service rep (eg: Lap Band, Gastric Bypass or Gastric Sleeve). They need to tell you the criteria that will need to be met in order for the procedure to be approved. Once all the requirements are completed, our office will submit clinical documentation supporting your needs for the surgery. It can take the insurance companies 30 days to approve the procedure. It’s a good idea to document who you spoke with and the date the conversation took place.
A major requirement for bariatric surgery is completing 3-6 months of medically-supervised weight loss with a registered dietician or your primary care doctor. Without this, getting approved for a bariatric procedure is almost impossible, and will be delayed. 95% of commercial insurance carriers require 6 months; please call the customer service number located on your card to verify.
A mental health specialist will need to evaluate you, and give you clearance before surgery is scheduled. Commercial insurance carriers require this as part of the pre-approval process; please call the customer service number on your card to verify.
We will refer you to:
Front Range Mental Health
1607 E US Hwy 24
Woodland Park, CO 80863
John Christie, MA, LPC, LLC
19600 East Parker Square Dr. Ste 100
Parker CO 80134
A registered dietitian will also need to complete an evaluation, and give you clearance before surgery is scheduled. Commercial insurance carriers require this as part of the pre-approval process; please call the customer service number on your card to verify.
We will refer you to:
Memorial Hospital Nutrition Services
175 S Union Blvd
Colorado Springs, CO 80910
Denver Wellness and Nutrition
6767 South Spruce Street
Englewood, CO 80112
Other Requirements that may need to be completed by you:
- Primary Care Provider will need to submit a letter of medical necessity.
- 1-5 year documented weight history.
If you have any questions, please contact our office. We will assist you with insurance questions, and guide you through the process.
We look forward to meeting you, and being a part of your weight loss success.
*Price is subject to change at any time.