Billing & Insurance

Did you know that most insurance companies cover bariatric surgery?

We ask that you please call your insurance company and verify that you have coverage for bariatric surgery and what the specific criteria is.

The following questions will help start your discussion with your insurance carrier regarding coverage:

  1. Do I have coverage for bariatric surgery?
  2. What criteria do I need to meet in order to be considered for bariatric surgery?
  3. Does your insurance company mandate that you have a medically supervised weight loss program completed prior to bariatric surgery? If so, GHP can help you fulfill that requirement.  We have various medically supervised weight loss programs to help you meet that requirement.  (For BCBS of Michigan patients – BCBS once again has a 6-month medically supervised weight loss requirement. We have put together a program to meet this requirement and information will be given at the surgical orientation.)

Other information your insurance carrier may need:

  1. Diagnosis Code= 278.01 for obesity
  2. Procedure Code for open Roux En Y= 43846
  3. Procedure Code for laparoscopic Roux En Y= 43644
  4. Procedure Code for laparoscopic Roux En Y Long Limb= 43645
  5. Procedure Code for a revision= 43848
  6. Procedure Code for lap band= 43770
  7. Procedure Code for Biliopancreatic Diversion with Duodenal Switch= 43845
  8. Procedure Code for Gastric Sleeve= 43775

GHP has a team of experts in authorizing bariatric surgeries.  Please contact our billing specialists at 616-464-4619 and one of our team members will be happy to answer your billing questions.

Please note that copays are due at the time of service and we cannot bill them to you.

About Grand Health Partners

At Grand Health Partners, we believe that people who succeed in making their lives healthier are happier. Our mission is to help people improve their health through a well-rounded approach to weight loss. To better fit your lifestyle and your needs, we provide both surgical and non-surgical weight loss programs. Our programs are led by a group of independent bariatric surgeons who have a passion for providing excellent patient care. Weight loss is our specialty. We will provide coaching for dietary, behavioral, and exercise habits while you are monitored by licensed bariatric physicians. Because we understand that genetic, social, cultural, and emotional factors lead to obesity, our patients are properly supported and equipped throughout their weight loss journey.

Contact Us

Grand Health Partners
2060 E. Paris Ave SE
Grand Rapids, MI 49546
616-956-6100
1-888-691-0050