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Frequently asked questions
Do I qualify for surgery?
Sanford Health helps guide you through the weight-loss surgery approval process. In order to make the process as smooth as possible, reviewing the following requirements will be helpful:
Your insurance company has established criteria that would qualify you for weight-loss surgery. Generally, you must be at least 100 pounds over your ideal body weight or have a body mass index (BMI) of 40 or greater. Some insurance companies give consideration for patients with a BMI of 35 or greater if you have health conditions that are treated but not improving. BMI is a body measurement based upon a person's height and weight. Your primary care physician can calculate your BMI or you can find it on the BMI chart by clicking here. Insurance companies who do cover weight-loss surgery may also require that you have a medical need to have surgery, such as hypertension, diabetes or sleep apnea, for example.Be sure to contact your insurance company and inquire if your specific policy covers weight-loss surgery.
How can I start the process to have weight-loss surgery?
Before you can have an evaluation to be considered for surgery, you are required to attend an informational session. Sanford Health hosts these monthly. Call (701) 323-5300 for more information. For more information click here.
Why do I have to attend an information session before surgery?
To learn more about the surgery and to assure you are making the right decision at the right time. It makes you a more informed patient and facilitates your care. It is highly advisable to bring friends and family members with you to the meeting.
How long does it take from the time I turn my paperwork in to the scheduled date of surgery?
Once we receive your paperwork, we verify your insurance and schedule you for a consultation. Please allow up to three weeks for chart and insurance review before inquiring on status. Once the consultation is completed, your paperwork is submitted to your insurance company for authorization. Most insurance companies will require psychological testing and a psychological assessment as part of the approval process. Once surgery is approved, surgery can usually be scheduled within 4-6 weeks.