Most health insurance plans cover the cost of weight loss surgery. However, it is the patients responsibility to confirm that your insurance company provides coverage for treatment of morbid obesity. Our team will also attempt to contact your insurance company to verify your bariatric benefits and the criteria requirements specifically per your insurance plan.  

 

Most health insurance plans have specific requirements that must be met before the surgery can be approved.

​

While general requirements vary, typical criteria include a Body Mass Index (BMI) of 40 or above, or a BMI of 35 accompanied by 2 comorbid conditions.  

​

• Participation in a 3,6 or even 12 month long Multidisciplinary Weight Loss Program (Nutrition Classes)may be required 

• Nutritional Evaluation (Wellness)

• Psychological Evaluation

• Clearances (Ex: Medical, Cardiac, etc)

• Sleep Study

• 2-5 years of medical notes documenting BMI
   

At DHMR Clinics, our expert team can assist you with completing the requirements and can work with you and your insurance company to obtain authorization for surgery.

​