As an Accredited Bariatric Surgery Center we are able to accept most insurance plans.

Patients with Medicare, Medicaid, UPMC, Highmark, Gateway, Unison, Cigna, Aetna, and many others are able to have their surgery at Chan Soon-Shiong Medical Center at Windber.

Every health plan is different in its coverage and requirements for surgery. Our office will do an insurance verification for you to make sure everything is as smooth as possible.

The road to having weight loss surgery can be long and often frustrating. If you are considering surgery, there are some things you can do to make that process a bit easier.

Most, if not all insurance plans, require documentation of non-surgical, medically or professionally supervised weight loss attempts before allowing access to surgery. Sometimes proof can be hard to come by, especially since most attempts are not well documented.

We work with every patient in our program to satisfy this requirement.

How long do I have to wait for surgery?

Many insurances are looking for 6 consecutive months of documentation. It should include monthly weigh-ins and counseling with a signature from a physician each month. Highmark, Cigna, Aetna and UPMC are examples of insurance companies that require this.

We work with every patient in our program to satisfy this requirement.

For patients who live longer distances from our office there are ways to document your weight loss efforts for the insurance company.

To ensure that everything is as smooth as possible we encourage patients to do their supervised weight loss visits through our office. However, we sometimes have patients who live far away from our office that need a more convenient option.

Your Primary Care Provider (PCP) can do these visits for you. We have forms available in our office that can be filled out by your physician and will generally meet the criteria for a “weight loss visit”. Be sure to have your doctor put on your medical chart that he/she is working with you on weight loss and supervising your efforts.

Other documentation of past weight loss attempts may be required.

These could be computer printouts from the pharmacy for medications such as Meridia, Phentermine, Xenical, Phen-Fen or Redux. They could be receipts for any over the counter weight loss medication you may have taken in the past. If you’re involved with a commercial plan like Weight Watchers, Jenny Craig or similar programs, you can get letters or receipts for these as well. These will sometimes be accepted by insurance plans.

Our office will coordinate any other documentation your insurance company requires prior to authorizing surgery. We will walk you through each step of the process and put your “package” together to submit to your insurance plan for authorization.