Pricing and reimbursement after bariatric surgery

You have decided on a gastric bypass and are very eager to get started? But how does it work financially?

If you have been screened and meet the criteria then gastric bypass surgery is covered by your health insurance company’s basic package. You then do not have to pay for the operation yourself. There are a few things you need to know, though:

As ahealth care provider, WeightWorksdoes not yet have a contract with all health insurers. This means that we cannot always send the bill for your treatment directly to your health insurance company. That’s why WeightWorks will send you the invoice after your surgery after 6 weeks. We ask that you submit this bill to your health insurance company immediately upon receipt.

You will receive an email from us that an invoice is ready so you can get started right away. Sometimes this mail may end up in your spam box, please monitor this carefully after your surgery.

If you have a payment plan or debts or are under guardianship for your financial situation, you are required to tell us before your treatment.

How does it work with reimbursement?

With a number of insurers, however, we can bill directly. These are: VGZ, Univé, IZA, ZEKUR, DSW, Stad Holland and Zorg en Zekerheid. The reimbursement you receive from your health insurance company on your own account may be lower than WeightWorks’ invoice amount. By law, the compensation paid by your health insurance company must be such that it does not constitute an obstacle for you to contact us. If, in your opinion, the reimbursement you receive under your policy does constitute an obstacle, we will be happy to help you claim a reimbursement that is in line with the law. The portion that is ultimately not reimbursed by your health insurance company will be paid by WeightWorks and will therefore not be passed on to you.
But please note that this payment discount only applies if you paid us within 30 days of the billing date and sent us your insurer’s benefit statement within 30 days of the billing date.

What do you need to do to do that?

  • Transfer the amount deposited into your account to WeightWorks within 30 days.
  • Send an email to declaraties@weightworks.nl with the health insurance benefit statement + the invoice number which can be found on WeightWorks’ invoice.

Good to know:

When screening for eligibility, a lot of health care providers look at you. There are also costs associated with this. They are also insured in the basic package. The cost of screening is also charged if you are turned down for surgery or opt out of surgery yourself.

Dietician fees are in the basic package for everyone for a number of appointments. This is covered by dietitian practice NutriCenter declared.

The deductible is always for your own account, even if it is withheld by your health insurance, you must pay it to us.

If you pay us after 30 days you will owe us the full invoice amount in all cases. The portion that WeightWorks would reimburse for you is then not reimbursed, this will be dropped. So make sure you pay us on time to avoid additional charges.

For the next 5 years, you won’t spend more than your deductible each year if you fully adhere to WeightWorks’ payment terms.

There will be multiple invoices per year since as a hospital we work in treatment periods of 90 or 120 days. These can simply be submitted to health insurance and are also covered by basic insurance.

It is also not necessary to inform the insurance company about this course, if you are approved after the screening, these costs are always (partially) reimbursed by the health insurance company.

Do you have questions or are things unclear? Then feel free to contact us! We are happy to help you.

Can I also pay for it myself?

If you are obese (BMI >30) but don’t qualify for reimbursement because you don’t meet the health insurance companies’ requirements for it, you can still have surgery at WeightWorks. You then have to pay for the operation yourself. The counseling and screening process is the same as for insured care. So we do look closely at your operative risk and help you with your lifestyle. If you pay yourself, no GP referral is needed. After all, your referrer is yourself. Self-pay prices can be found in the table below. In that case, the price for a gastric reduction includes screening and after-treatment for the first year.

Good to know:

The deductible is always for your own account, even if it is withheld by your health insurance, you must pay it to us.

If you pay us after 30 days you will owe us the full invoice amount in all cases. The portion that WeightWorks would reimburse for you is then not reimbursed, this will be dropped. So make sure you pay us on time to avoid additional charges.

For the next 5 years, you won’t spend more than your deductible each year if you fully adhere to WeightWorks’ payment terms.

There will be multiple invoices per year since as a hospital we work in treatment periods of 90 or 120 days. These can simply be submitted to health insurance and are also covered by basic insurance.

It is also not necessary to inform the insurance company about this course, if you are approved after the screening, these costs are always (partially) reimbursed by the health insurance company.

Do you have questions or are things unclear? Then feel free to contact us! We are happy to help you.

Rates operations (new for 2024)

DBC-Zorgproduct: Declaratiecode: Omschrijving: Tarief:
049999014 15C290 Gastric Bypass / Mini Gastric Bypass / Gastric Sleeve € 9.925,00
049999013 15C289 Gastric Bypass / Mini Gastric Bypass / Gastric Sleeve o.b.v. dagopname (zonder overnachting) € 9.555,00

Rates Screening and counseling (new for 2024)

DBC-Zorgproduct: Declaratiecode: Omschrijving: Tarief:
049999016 15C291 Multidisciplinaire screening € 810,00
049999010 15C286 Multidisciplinaire screening en begeleiding in jaar 1 en 2 na OK € 810,00
049999016 15C291 Begeleiding in jaar 3, 4 en 5 na OK € 810,00

Do you want to know if you qualify for gastric bypass surgery?

Follow these steps:

  • Step 1

Do the Quick Scan

Complete the Quick Scan and quickly find out if you are a candidate for gastric bypass surgery.

  • Step 2

Going through your journey

You will go through the process from screening to the guidance of a Lifestyle coach in the after process.

  • Step 3

Go through life healthy

Now it’s up to you! Together with one of our lifestyle coaches, you will maintain a healthy lifestyle and have the most results and enjoyment from your gastric reduction.