Surgical Weight Loss Program for Teens

  • Timeline Process

    The Surgical Weight Loss Program for Teens at Cincinnati Children’s provides a timeline for our program. Each patient, each situation and each insurance policy is unique. Information is subject to change.

  • A Typical Patient Timeline

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    1. Referral received, insurance verified

    Average time: One to three weeks.

    Additional information: The patient and family are responsible for returning all paperwork in a timely manner. Once paperwork from your child's doctor is received and the patient insurance coverage has been verified, an appointment will be arranged.

    Insurance verification is critical in the initial steps to our program.  Our office staff works closely with the Cincinnati Children’s family financial advocate to verify that each patient’s policy coverage is active and determines the policy’s clinical requirements for bariatric surgery before the initial evaluation.

    2. Initial Evaluation

    Average  time: Three hours on one day (a Tuesday) with the team. ALL patients must meet with the entire team before proceeding with the next step.

    Additional information: Your family will meet with the surgeon, medical physician, psychologist, nurse and the dietitian during this visit.

    3. Family notified of team’s decision

    Average  time: The nurse will contact you – one to two weeks after your initial evaluation -- to notify you of the team’s decision to pursue surgery authorization OR explore other weight management options.

    4. Initiation of “Treatment Plan” visits

    The pre-op diet and exercise phase of the program is a critical component.

    Missed appointments, cancellations or no-shows will delay your process through the program, and delay surgery. 

    Average  time: Appointments are on Tuesday afternoons or Thursday mornings. Patients are expected to return every   four to six weeks for  three to six  months until a surgery decision is made.

    The following criteria must be met at these visits:

    • The patient and caregiver must come to each visit as planned.
    • You must complete any additional testing based on health needs.
    • You must demonstrate that you can use weight management tools to achieve short-term weight loss.

    Additional information: The purpose of treatment plans is for patient and family members to learn about calories and eating habits and to receive a personalized diet and exercise plan. The patient is responsible for monitoring daily intake. This is also an opportunity for our team to teach a large amount of information over several appointments. Patients who can achieve preoperative weight loss are healthier at the time of surgery.

    5. Insurance approval for surgery

    Average time: In weeks or months, depending on your specific insurance benefits, the insurance process of approval for surgery authorization will be complete.

    Additional information: This can occur simultaneously with Step 4 above. In this process, the program’s doctors write to your insurance company to request prior-authorization for surgery. Many times, more information is requested by the insurance companies to demonstrate that the surgery is medically necessary.  We seek to most efficiently work toward this goal on your behalf.

    6. Scheduling weight loss surgery

    Average time: Typically four to six weeks after receiving the insurance approval.

    7. Clinical Research

    Average time: Most of the obesity research studies can be accomplished in one to two days.

    Additional information: Cincinnati Children’s is not only a world-class clinical facility, but also a highly respected research hospital. There are numerous ongoing research studies in our program that have been funded by the National Institutes of Health and other organizations. This is an excellent opportunity for patients and families to help us better understand obesity and outcomes of weight-loss surgery. Many of the studies provide compensation for the patient’s time.


 
  • Contact / Refer

    Contact staff with the Surgical Weight Loss Program for Teens.

    Contact / Refer