Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Pre-op testing covered?



Recommended Posts

Hey guys, I have an exclusion in my insurance policy on the "treatment of exogenious obesity". So, I know it doesn't cover surgery. However, my surgeon in a different state has his out of town patients get their pre-op testing and lab work (EKG, Chest X-ray, CBC, H. Pylori...) done by their local PCP. So, I'm wondering if insurance would cover the testing. I don't think the insurance company would any idea that the stuff I am getting done will be for WLS later. Just trying to figure out how much the labs will be out of pocket since I am still saving up.

Share this post


Link to post
Share on other sites

That's my exact situation. My PCP in Michigan did the labs that my surgeon (in Ohio) wanted and insurance covered it to the extent that they cover the labs. My insurance discounted it, and the remainder counts against my deductible for the year (around $1500 before insurance - after only about $250 for the blood work alone). That's how they treat ANY labs that my PCP orders - so it wasn't specific to the WLS.

So, I don't know how helpful that was, but that was my experience.

Share this post


Link to post
Share on other sites

I am in the same situation. My PCP ordered all the tests my surgeon required. As long as they code them a medically necessary your insurance should cover them. My PCP required over 3K in testing (Sleep Apnea, 2 sets of blood and urine, EKG, Echo, Chest X-Ray and 3 separate Dr visits.) Luckily my payment to the hospital covers my in hospital testing. All my post op blood work will be covered under routine blood work to monitor High BP. Good Luck!

Share this post


Link to post
Share on other sites

Oh, wow, thanks guys! That does help! I was really hoping that insurance would at least cover my labs like they normally would cover lab work in a non-WLS situation.

Share this post


Link to post
Share on other sites

My insurance covered all tests that I got my PCP to do as well :)

Share this post


Link to post
Share on other sites

I have had no problems all my tests were covered!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Yay!! Congrats. I know how good that feels. 🤩

    • Jenopolis

      Had a sleeve in 2017, lost over 100 pounds. Had a DS surgery this year (2025) for more sustainable weight loss. 🤞
      · 0 replies
      1. This update has no replies.
    • buildabetteranna

      The 14th was my day. I am home and recovery is going pretty smooth. They even let me walk out of the hospital. Picture of me in recovery curtesy of my boyfriend lol. 

      · 3 replies
      1. DaisyChainOz

        Glad it went well!! Wishing you a speedy recovery and wonderful success!! 🤗

      2. buildabetteranna

        Thank you ❤️

      3. Selina333

        Neat you have a pic of this day! I was sooo happy to get my surgery. It was well worth it! And I'm not even near my goal. I had surgery Dec. 2!

    • Alisa_S

      Bought a treadmill and some 5 lb weights. Time to get off my butt and get moving!
      · 1 reply
      1. DaisyChainOz

        That's a great choice! 😊

    • DaisyChainOz

      Surgery done!  Really looking forward to the next chapter 🥳😁
      · 3 replies
      1. GreenTealael

        Congratulations!!🎉

      2. Bugzy46

        Congrats

      3. Alisa_S

        Fantastic! Best of luck to you & I hope you're healing nicely & not having much pain!🙏

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×