Considering the Costs of Gastric Bypass in Chicago
June 9th, 2008 in CostsThere are many surgeons who perform weight loss surgery in the Chicago area. When you are considering having gastric bypass surgery it is important to determine how you will finance the procedure. Gastric bypass is a necessary procedure for many people, but it can also be costly. Your medical insurance policy might pay for your gastric bypass surgery but you must meet a certain list of medical criteria first. It is also not uncommon for an insurance company to have an exclusion clause for treating obesity. What this means is that they will not cover any treatment that is directly related to you losing weight. That said, they will generally treat the diseases that are associated with being overweight. To many people this makes little sense, and they are left wondering how they will pay for their surgery.
Most of the time to qualify for insurance coverage your doctor must decide that gastric bypass is a medical necessity. Although even when your doctor feels that way the insurance company will always make the final decision. They may even require you to be seen by an independent doctor chosen by them.
To be approved for gastric bypass by both your physician and the insurance company certain conditions must be present. Your weight must present a serious risk to your life for you to be considered for weight loss surgery. You are also required to complete a psychological evaluation in order to be considered.
Genetics and metabolic rate can make significant difference in how much a person weighs, but the primary causes of obesity are usually emotional and psychological. It is important to remember that having gastric bypass surgery will not solve these emotional and psychological problems. Actually, many patients experience more of a problem with these issues after weight loss surgery. If a patients has not resolved these issues prior to having their surgery they are more likely to experience some of the negative side effects associated with the surgery. It is for this reason that insurance companies require both a medical and psychological evaluation before they will approve surgery.
It is tough to think of it this way, but an insurance company is a business. When they are confident a patient will keep up their weight loss after surgery they know that patient will save them money in the long run. If they spend $25,000 to $50,000 dollar for gastric bypass surgery now, it will pay off later when less medical care is required because the patient is healthy. However, when they pay the money for the surgery and a patient isn’t ready or statistically likely to maintain their weight long-term, they are paying that large surgical expense and eventually they may return to paying for regular medical issues if the patient regains their weight.
Once you are approved for gastric bypass surgery, your insurance company is likely to cover 50 to 100 percent of the hospital and doctor fees. There is a variety of expenses that go along with having gastric bypass surgery including, testing for eligibility for gastric bypass surgery, pre-admission testing, hospital costs, surgeon and other doctor fees, and post-surgery medication and care. Even when your insurance company refuses to cover the gastric bypass surgery, they may still cover some of the other costs associated with your gastric bypass surgery.
Regardless of how much money the insurance company covers it is not uncommon to be left with some expenses. Many surgical centers can assist you in finding out what is covered by your insurance policy. Many surgical centers also offer low-interest, long-term loans that you can apply for if you are not approved by the insurance company, do not have medical insurance, or have high co-payments.
If you are not approved for insurance or financing all hope is not lost. The cost of any medically necessary weight loss treatments can be deducted as medical expenses on your income tax. You will have to pay for the expenses initially out of pocket, but you can get most of the money you paid out back at tax time. It is important to note that these tax deductible expenses can include any treatment for weight loss like, behavioral counseling, nutritional counseling, prescriptions, and gastric bypass surgery.
It is not uncommon for the deciding factor in whether or not to have necessary weight loss surgery to involve their ability to pay for the surgery. If a doctor feels that the situation is critical and weight loss surgery is essential, this should never be a factor. It is important for patients who need weight loss surgery to do their research and investigate all the available resources for financing their surgery. There are many programs in the Chicago area that can help with the cost of weight loss surgery.