Looking for health insurance companies in new jersey that cover bariatric surgeries. Any advice is appriciated.
Sorry, I am unwilling to travel to foregin countries to have this surgery. If they hurt me in some way, it would be much harder to gain compensation, plus I have a 1 year old that I can’t leave, nor take to another country.
I have two answers: one for where you might find insurance and one about bariatric surgery. The short answer for where you can find health insurance is: it depends. You can find coverage through most health insurance companies, but most private insurers include riders on their standard policies that deny coverage for bariatric surgery. According to a New Jersey Work Group report on bariatric surgery, HMOs in the state must include coverage for bariatric surgery. I’ve included a link to the report, which also alludes to Medicare/Medicaid changing its stance on coverage for this procedure. It wasn’t until this year that Medicare/Medicaid considered obesity an illness and expanded coverage for obesity treatment. The next link in the sources section is to a New Jersey HMO report card rating HMOs in the state.
The above answerer quotes an interesting article from a medical group that specializes in obesity treatment. You’re kind of lucky that you are looking for treatment in New Jersey because the state conducted an in-depth study into how well bariatric surgeries are being executed. This was in response to the fact that the number of procedures increased by almost 10 times in just five years. I’ve linked to the press release describing the results of the Work Group study. Although they did not recommend any strict rules for where to go for treatment, they did say that a successful bariatric program “would perform at least 125 surgeries a year, with each surgeon having a lifetime experience of at leat 125 procedures.” The report also goes on to say that a good program would include a physician medical director for bariatric surgery.
You might want to use the above criteria to find doctors that you’d want to perform the procedure. I’ve included a link to a list of New Jersey doctors who specialize in bariatric surgery. Then you can see what health insurance the work with and go from there. I would also speak to health insurance agents in your area. Chances are, they’ve fielded your question before and can quickly help you out. Try MostChoice.com. You can review different plans and speak to multiple agents without any cost or obligation.
You can find MostChoice here: http://www.mostchoice.com/health-insurance.cfm
Hope this helps
Barnes@MostChoice