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Payment Options

Below is a list of insurances that our office currently accepts. Once you have attended a seminar, our patient advocates will verify your insurance benefits within 72hrs. Please complete the insurance verification form below and return it with a copy of both sides of your insurance card to expedite the process. All patients are required to have a nutritional and psychological evaluation. We highly encourage consultation with our affiliated providers to ensure proper assessment for insurance authorization. Not all nutritionists and psychologists have specialized training for bariatric surgery.

  • Insurance
  • Medicare
  • AHCCCS
  • Self-Pay Packages

Contracted Insurances

DOWNLOAD - Insurance Verification Form
  • BCBS
  • Cigna - We are credentialed as a Cigna Center of Excellence.
  • Health Net
  • Humana
  • Medicare
  • Pacificare
  • UMC
  • United Health Care - We are credentialed as a UHC Center of Excellence.
  • Some additional PPO plans - call for more information.

 

Self Pay Packages 

Surgical Consult

All procedures - $200 

Psychological Evaluation & Nutritional Consult - $345 

Gastric Bypass & Duodenal Switch

Surgeon & Assistant Fee
$7,000 

Hospital Fee
$ 14,500 - up to 4 day & 3 night hospital stay

Anesthesia Fee
$1,100 

Gastric Sleeve

Surgeon & Assistant Fee
$6,000 

Hospital Fee
$11,000 - up to 4 day & 3 night hospital stay 

Anesthesia Fee
$1,025

Adjustable Gastric Band

Surgeon & Assistant Fee 
$4,500

Hospital Fee
$9,000 - up to 3 day & 2 night hospital stay

Anesthesia
$920 

Annual Post-Operative Visit

Required years 2-5 - $100

Lap band fills incur an additional $100 fee 

Post-Op Nutritional or Psychological Visits - $75


Medicare 

For bariatric procedures, Medicare coverage requires facilities to have Bariatric Surgery Center of Excellence (COE) certification from the Surgical Review Corporation (SRC). SACMIS and Northwest Medical Center have received their certification from SRC as of April 13, 2009. Pre-surgical requirements such as diet history for insurance authorization vary widely based on whether you have a Medicare supplement plan or straight Medicare. All Medicare patients are required to have a psychological and nutritional evaluation prior to clearance for surgery at the cost of $345.00. Medicare patients are encouraged to attend a free seminar and schedule an initial consult, so that their patient advocate can explain their surgical requirements.

 

AHCCCS - AZ Medicaid 

SACMIS is only contracted with United Health Care Arizona Physicians IPA (APIPA) for bariatric surgery. We can also accept AHCCCS if your primary payer is a Medicare Replacement Plan. SACMIS must be contracted with the Medicare Replacement Plan and bariatrics must be confirmed as a covered benefit with the replacement plan. Our advocates can help sort out the particulars of your plan. We are also unable to perform any self-pay procedures on AHCCCS patients. For all other AHCCCS plans, we encourage you to contact your plan administrator for a referral to another provider.

Free Weight Loss Seminar

What's New

FREE NEW 
PATIENT SEMINAR
August 15 , 1:30 PM
 
POST-OP PROGRAM
Speaker: JoAnne Thomsen
Topic: TOPS
 
August 12, 2014

 

6:00 PM
 
Northwest Medical Center
 

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