For Physicians

The Jeanes Bariatric Program offers a comprehensive approach for transforming the lives of area residents who are struggling with the physical and psychological effects of obesity.

We know that quality care requires not just expert management of the bariatric patient, but also good communication with our referring physicians. The staff at Jeanes is committed to keeping you abreast of your patient's care. Our approach is one of cooperative effort with you, providing timely communication throughout therapy, until the patient is returned to your care.

Benefits of Bariatric Surgery*

  • Produces losses of 40 to 60 percent of excess weight at two to three years after gastric banding.
  • Produces losses of 50 to 75 percent of excess weight at 12 to 14 months after gastric bypass.
  • Is superior to nonsurgical treatment over the long-term (10-14 years).

New Evidence of Related Health Benefits*

Recently, physician interest in bariatric surgery has been heightened by the introduction of safer and less invasive procedures as well as by the publication of evidence showing long-term surgery-related improvements in:

  • Diabetes (>60% resolution)
  • Hypertension (>40% resolution)
  • Hyperlipidemia (>80% resolution)
  • Reduced risk of cardiac events
  • Sleep apnea (>85% resolution)

Qualifications for Surgery

  • BMI ≥40
  • BMI of ≥35 plus a serious obesity-related condition such as diabetes, heart disease, hypertension, arthritis, or sleep apnea
  • Failed non-operative attempts at weight loss (e.g. diet programs, drug therapy)
  • Jeanes' policy is to consider only patients between the ages of 18 and 65; patients over 65 may qualify on an individual basis
  • A commitment to long-term compliance with diet and exercise

Insurance Coverage

Today, bariatric surgery is covered by most insurance providers for morbidly obese patients (BMI ≥40) and also for those with a BMI of ≥35 plus a serious obesity-related condition such as diabetes, heart disease, hypertension, arthritis, or sleep apnea. Patients must contact their insurance provider for policy information on coverage, exclusions, deductibles, co-pay amounts and out-of-network benefits prior to scheduling surgery.

At Jeanes, we assist patients with the approval or pre-authorization process. Previous weight-loss attempts, physical condition, related illnesses, disabilities and their future impact are taken into consideration to determine medical necessity of the procedure.

Guide to Documentation for Non-Surgical Weight Loss Attempts

The referring physician is an integral part of the surgery approval process and may be required to document a patient's non-surgical weight loss attempts. Documentation requirements vary by insurance coverage. Contact the Jeanes staff or insurance provider for specific requirements. Generally, documentation consists of the following patient information tracked on a monthly basis:

  • Weight
  • Supervised weight loss program
  • Counseling sessions

The documentation period can range from three to six months.

Your patients can register for a free informational seminar or make an appointment for a consultation with a bariatric surgeon at Jeanes by clicking here or calling 215-728-CARE (2273).


*Supporting References:
Adams TD et al. N Engl J Med. 2007; 357:753-761.
Agency for Healthcare Research and Quality. Statistical Brief 23. January 2007.
Buchwald H et al. JAMA. 2004;292:1724-1738.
Buchwald H et al. Surgery. 2007;142:621-632.
Carson JL et al. Arch Intern Med. 1994;154:193-200.
Cunneen SA. Surg Obes Relat Dis. 2008;4:S47-S55.
Dixon JB et al. JAMA. 2008;299:316-323.
Foley EF et al. Am J Surg. 1992;163:294-297.
Nguyen NT et al. J Am Coll Surg. 2006;203:24-29.
NIH/NIDDK: Bariatric Surgery for Severe Obesity; Pub. 08-4006, March 2008.
Pories WJ et al. Ann Surg. 1995;222:339-352.
Rasheid S et al. Obes Surg. 2003;13:58-61.
Schauer PR et al. Nutrition in Clinical Practice. 2004;19:60-61.
Sjostrom L et al. N Engl J Med. 2007;357: 741-752.
Torquata A et al. J Am Coll Surg. 2007;204:776-782.
Wittgrove AC et al. Obesity Surgery. 1996 ;6:500-504.

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