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We understand the insurance approval process can be a challenging experience. One key focus of the Centennial Experience is to provide you with assistance needed to successfully navigate the approval process.
Our surgeons and medical center are in-network providers for most insurance plans. Insurance benefits and criteria for weight loss surgery can vary greatly by plan and by employer. We will verify benefits and criteria specific to your plan. Most insurance companies base their criteria on the NIH guidelines:
- BMI of 40 or greater
- BMI of 35-40 with significant co-morbidity
- Documented dietary attempts ineffective
- Multi-disciplinary team approach
- Life-long medical surveillance
These requirements only apply if surgery is a covered benefit under your policy. Some policies have exclusions which means your insurance plan does not cover these services. This list is subject to change without notice from your insurance company. Click here to download more information about these companies.
Can I Afford NOT to Have Surgery?* Click here for the affordability calculator >>
Not everyone has insurance coverage for weight loss surgery. If paying for surgery yourself, we realize “what if” may be a concern. Our surgeons are the first in Tennessee to include coverage of surgery related complications for our self pay patients. This coverage provides our patients with the peace of mind to proceed with surgery.
Our self pay rate for gastric banding includes the coverage of complications or readmission to the hospital for 30 days after your band is placed. The cost of adjustments (frequently referred to as “fills”) are not included. The cost for adjustments is $250.00. You can anticipate the need for approximately four adjustments in the first year after surgery.
Our self pay rate for vertical sleeve gastrectomy and gastric bypass includes the coverage of complications or readmission to the hospital for 60 days after your procedure.
|
Gastric Band* |
Sleeve Gastrectomy** |
Gastric Bypass** |
|
|
Hospital |
$9,500.00 |
$13,000.00 |
$14,980.00 |
|
Anesthesia |
$1,100.00 |
$1,950.00 |
$3,190.00 |
|
Surgeon |
$5,000.00 |
$6,050.00 |
$7,300.00 |
|
Radiology |
$0 |
$0 |
$30.00 |
|
Total |
$15,600.00 |
$21,000.00 |
$25,500.00 |
*Gastric banding fee includes coverage of complications or readmissions related to surgery for 30 days **Sleeve gastrectomy and gastric bypass fees include the coverage of complications or readmissions related to surgery for 60 days
Most importantly, our self pay rates include unlimited access to our registered dietitians, exercise physiologist, support groups and our Psychological Support Program. Some patients choose to borrow against their 401K plans or to utilize home equity loans. If you need assistance with financing your surgery, we work with several healthcare finance companies.
Financing is available through:
- Surgery loans -- Call 1-888-502-8020 or apply online www.surgeryloans.com
- LAP-BAND -- Call 1-866-LAP-BAND (527-2263)
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