Contact Us
 

 

SOUTHEAST DIVISION


 
 
   


 

SOUTHWEST DIVISION


 
 
 

Verify Insurance Coverage Online

Tell us how to get in touch with you:

 

First Name:

 

Last Name:

 

Address:

 

City:

 

State:

 

Zip:

 

Phone #:

 

Alternate Phone #:

 

Email:


 

Insurance information:

 

Insurance Company:

 

Insured's name:

 

Date of Birth:

 

Insured's employer:

 

Member Policy #:

 

Group #:

 

Customer service
phone number:

 

(Usually located on the back of your insurance card.)

 

Do you have any of the following obesity-related diseases?

 

Diabetes

 

Hypertension

 

Sleep Apnea

 

High Cholesterol

 

What type of surgery are you interested in?

 

Gastric Banding

 

Roux-n-y Bypass

 

Duodenal Switch

 

Revisional Procedure

 

ROSE Procedure


 

Body Mass Index (BMI) is the measurement that will help determine if you're a candidate for this surgery.

(Calculate my BMI)
 

Gender

Male

Female

 

Height

ft. in.
 

Weight:

lbs.
 

Age


 

How did you hear about us?


 

Contact Us: Info@whyweight.com


Surgical Specialists of Louisiana can only quote benefits and does not guarantee insurance payment of eligibility. In addition, we encourage all patients to check your member booklet or call your insurance company. Your human resource department is required to issue you a plan booklet which discloses all your covered and
non-covered benefits.

 

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