You are not alone in your weight loss journey. In fact, more than 11,000 people have walked this same path before you, finding renewed health and happiness through weight loss surgery at the Weight Treatment Center at St. Mark’s Hospital.
We work closely with our bariatric surgeons to provide a life-changing program that goes far beyond surgery, and includes nutritional guidance, support groups and access to counseling services.
The following steps outline the path you will take as you begin your surgical weight loss journey.
Step One: Weight surgery information class
Step Two: Patient forms
Complete the patient information and medical history forms. Drop off, mail, e-mail, or fax completed forms back to us. You will receive information about the next steps by mail or e-mail within 7-10 days.
Step Three: Insurance
If you have a weight loss surgery benefit available through your health insurance plan, contact your insurance provider. Your health insurance provider will provide you with any documentation and/or tests that they may require prior to surgery. Use the guide from the Obesity Action Coalition to help you with this process.
You may need to provide your insurance company with the following procedure and diagnosis codes to receive the most accurate information:
- Roux-en-Y gastric bypass: CPT 43644
- Gastric banding: CPT 43770
- Sleeve gastrectomy: CPT 43775
- Duodenal switch: CPT 43645
- The diagnosis code for obesity is E66.01
The surgeon's office will also check this information for you once you complete the new patient paperwork.
Step Four: Meet insurance criteria
If you plan to pay for weight loss surgery without using insurance, please proceed to "Step Five."
Collect all medical record documentation as required by your insurance. Below are possible items or "Criteria" that your insurance company may have you complete before giving you a preauthorization for surgery:
- Nutrition evaluation by a registered dietitian
- Psychological evaluation
- 3 to 6 months medical weight loss program supervised by physician or dietitian
- Referral from primary care doctor giving clearance for surgery
Our team at the Weight Treatment Center can help you fulfill these requirements or connect you with an experienced provider. For appointments call (801) 268-7479.
Step Five: Consultation
You will have a consultation with the surgeon and attend an informed consent and a pre-surgery class prior to surgery. You will be advised when to schedule these appointments.
Step Six: Insurance preauthorization & surgery scheduling
The surgeon’s office will prepare and submit your application, medical records and a letter of medical necessity to your insurance company for written approval.
You will need to provide copies of your insurance card and a photo ID to the surgeon’s office.
Authorization may take 6-12 weeks depending on your insurance.
These important steps will ensure that you are well prepared for surgery. We are happy to assist you as you take the next step toward a healthier lifestyle.
Self-Pay discounted pricing:
Discounted pricing is available for those who pay for the surgery through your own means. Third party financing options are available. See “Weight Loss Surgery Insurance Information”
**We know that peace of mind is important to you. Many of the weight loss surgery procedures offered at St. Mark’s Hospital includes a package price with limited complication coverage for up to 90 days following your surgery.