Important Insurance Information Before You Proceed with Any Testing
It is critical that you call Heather Jacobsen, Insurance and Billing Coordinator for Ventura Advanced Surgical Associates, to help determine your insurance coverage. Heather is available by voicemail at 805-676-9100 x118. You must leave a message containing your name and phone number so that she may return your call. You can also contact Heather via email, heather.jacobsen@drbillybariatrics.com.
A WORD ABOUT YOUR INSURANCE FOR WEIGHT LOSS SURGERY
Dr. Billy is a preferred provider with several insurance companies. Many insurance companies have different policies with different coverage benefits. Please check with your individual health plan to determine if Dr. Billy is listed as a preferred provider with your plan.
If Dr. Billy is not listed as a preferred provider with your health plan, our office will accept your insurance payment as partial payment towards his surgical fee. Any portion of Dr. Billy’s fee not covered by your insurance will be balanced billed to you. To determine whether bariatric surgery is a covered benefit of your policy, please call your insurance company directly. They may ask you for the following information regarding bariatric procedures:
This is a laparoscopic procedure.
Diagnosis code: Morbid Obesity 278.01
Roux-Y Gastric Bypass Surgery: CPT Code 43644
Lap-Band Surgery: CPT Code 43770
Although Dr. Billy may not be a provider for your insurance, the hospitals we use have typically been preferred providers for almost all of our patients. Hospitalization is the most expensive part of any operation and for most patients hospitalization charges are typically covered as a medical benefit of your health plan.
Dr. Billy is a preferred provider with many health plans including Blue Shield, Health Net PPO, and others. Dr. Billy is also a provider with Kaiser Permanente Southern California. You must call Heather Jacobsen regarding bariatric surgery and insurance coverage. She can also answer questions regarding our billing policies. Please leave her a detailed message and she will get back to you. Heather Jacobsen, Insurance, and Billing Specialist: 805-676-9100 x118.
