Weight Loss Surgery Insurance Coverage | Weight Loss Surgery | Sentara Northern Virginia Medical Center
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Weight Loss Surgery Insurance Coverage 

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Does Insurance Cover Weight Loss Surgery?

Many insurance programs will cover the cost of weight loss surgery. However, it is your responsibility to confirm this with your insurance company prior to making the appointment. Please keep in mind that some insurance carriers may have specific exclusion criteria or requirements that must be met before weight loss surgery is covered. Payment arrangements can be made for patients with no insurance or whose insurance does not cover these procedures. You may pay for the surgery yourself if insurance coverage is not provided.

Insurance Pre-Approval and Authorization

Expert help is available for insurance pre-approval. We participate with many managed care insurance companies and most major commercial insurance plans, and are a Blue Distinction Center for Bariatric Surgery*, an Aetna Institute of Quality Bariatric Surgery Facility, and a CIGNA 3 Star Quality Bariatric Center.

Many insurance programs will cover the cost of surgery. However, it is your responsibility to confirm this with your insurance company prior to making the appointment. Please keep in mind that some insurance carriers may have specific exclusion criteria or requirements that must be met before weight loss surgery is covered. Payment arrangements can be made for patients with no insurance or whose insurance does not cover these procedures.

Request for insurance authorization for coverage of your surgery will be submitted after the initial evaluation to determine whether you are a surgical candidate. The date of surgery will be determined when you have completed all pre-surgical evaluations.

Sentara Weight Loss Surgery Centers Network Criteria


Our Weight Loss Surgery Center in Northern Virginia is an Aetna Institutes of Quality® Bariatric Surgery Facility. Aetna Institutes are a national network of healthcare facilities that are designated based on measures of clinical performance, access and efficiency for bariatric surgery.

Facilities selected for the network met the following criteria:

 Have significant experience in bariatric surgery, including a minimum of 125 procedures in the most recent calendar year - aligns with nationally recognized organizations.

 Have evidence-based and recognized standards for clinical outcomes, processes of care and patient safety. 

 Provide ongoing follow-up programs and support for their bariatric surgery patients. 

 Adhere to Aetna's standards for member access to the facility and Aetna participating providers. 

 Demonstrate efficiency in providing care based on overall cost of care, readmission rates and comprehensiveness of program


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