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Insurance Options


 

Insurance criteria varies depending on your health plan and benefits. There are a number of different plans available to a patient, and at times it becomes very confusing and difficult to choose which one fits your needs. Bariatric patient’s are required by their Insurance Company to undergo certain requirements prior to being granted a surgery authorization. Each health plan has different criteria, but most are similar to those listed below:

  • A BMI of >35 with two co-morbidities (listed below) or a BMI of >40
  • Medical History of Co-Morbidities associated with obesity (Diabetes Mellitus, Obstructive Sleep Apnea, Hypertension, Gastric Reflux Disease, Degenerative Joint Disease/Arthritis, Hypercholesterolemia, etc.)
  • Medical history of Obesity for up to 5 years
  • 3-6 months weight loss management (either by PCP/ Dr. Krahn/ Weight Loss Clinic) participated in within the last 2 years
  • Nutritional consultation and assessment
  • Psychological evaluation showing patient is willing to comply in a strict post-operative regimen
  • Age ranging from 18-65

Not all insurance companies require the above criteria, although it is commonly seen in most. Our office staff is very knowledgeable and willing to assist you with understanding the insurance criteria of your health plan.

Please see our Insurance section for accepted coverage.

Please click the links below for additional information:

About Dr. Krahn

Western Bariatric, AMC is a bariatric surgery provider serving patients in the San Bernardino, Riverside, and surrounding areas of Southern California. Available surgeries and treatments include Roux En Y Laparoscopic Gastric Bypass, Sleeve Gastrectomy, Lap Band, Medical Weight Loss, Body Contouring, and Hiatal Hernia Surgery. Douglas Krahn, MD, FACS is fellowship trained in general surgery and specializes in bariatric surgery. He is strongly dedicated to their patients and want to help each person live the healthy life that they deserve.

When patients arrive at Western Bariatric, AMC, the first goal is helping each person to determine their weight loss needs and goals. The doctors and staff at Western Bariatric, AMC can customize a weight loss plan for each person, whether it involves non-surgical options like the medical weight loss plan or surgical options like laparoscopic gastric bypass. Call to arrange a consultation anytime!

Bridge Program

Our Bridge program is designed to educate patients who are contemplating weight loss surgery.

Most insurance companies require a 3-6 month medically supervised weight loss program prior to requesting surgery. This is where our specially designed Bridge program fits in. Patients now have the option of choosing our Bridge program over other weight loss programs that are very expensive and DO NOT prepare you for the necessary diet changes required after surgery. The Bridge program consists of monthly visits with our Dietitian. You will receive a full-color educational book, along with testing modules that ensure our patients are well prepared for their specific surgery.

This service is available for a small program fee of only $35.00 a month.

Schedule Consultation

Please click the button and fill out the Schedule Consultation form and we will send you a text message with next steps! 

 

Schedule A Consultation

Accepted Insurance Providers

Western Bariatric, AMC accepts these listed insurance providers. Please contact the office for further information on accepted insurances.

Aetna
Blue Cross
Blue Shield
Cigna
HealthNet
Inland Empire Health Plan
Medicare
United Healthcare
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