Recognized as a Center of Excellence by the American Society for Bariatric & Metabolic Surgery
Before you consider weight loss surgery as an option in managing your obesity, it would be helpful to contact your insurance company to verify that:
To qualify for insurance coverage you must have either:
Patients should also check to see if their insurance provider requires documentation of medical attempts to lose weight prior to surgery.
Some insurance carriers require six consecutive months of documented weight loss attempts within the last two years. Patients’ primary care physicians can help them complete necessary documentation, which may include:
Please note that these are just guidelines. Specific requirements vary according to insurance plans.
Insurance companies that do not require documentation of physician supervised weight loss attempts:
Insurance companies that require six months documentation of physician sponsored weight loss:
The following plans require six months documentation of physician sponsored weight loss and six months documentation of weight management:
Weight management programs can include Weight Watchers, Pathways to Change (Live for Life), or the Duke Diet and Fitness Center. A $4,000 copay is required before surgery.
If your insurance carrier will not cover weight loss surgery there are options you can take if you still wish to proceed with surgery:
If you cannot understand the information given by your insurance company on coverage of obesity care, please contact the financial care counselor at the Durham clinic (919) 470-7003 or the Raleigh clinic (919) 862-2744.