Does insurance cover weight loss surgery

Insurance coverage for weight loss surgery, also known as bariatric surgery, varies depending on the insurance plan and the specific surgery being performed. However, many insurance plans do provide coverage for weight loss surgery under certain circumstances.

Qualifications for Insurance Coverage

• Insurance coverage for weight loss surgery typically requires the patient to meet certain qualifications, such as having a body mass index (BMI) over a certain threshold, having a related medical condition such as diabetes or high blood pressure, and having tried other weight loss methods without success.
• Additionally, insurance plans may require documentation from a physician or specialist confirming the need for weight loss surgery, as well as pre-authorization for the procedure.

Types of Weight Loss Surgery Covered

• The types of weight loss surgery covered by insurance can vary depending on the plan and the specific surgery being performed. However, many insurance plans cover the following types of weight loss surgery:
• Gastric bypass surgery
• Gastric sleeve surgery
• Laparoscopic adjustable gastric banding (LAGB)
• Biliopancreatic diversion with duodenal switch (BPD/DS)

Costs and Coverage Limits

• While insurance plans may provide coverage for weight loss surgery, there may be limitations and out-of-pocket costs to consider. These can include co-payments, deductibles, and other fees that may not be covered by insurance.
• Additionally, insurance plans may have coverage limits or exclusions for certain types of weight loss surgery or for certain conditions. It is important to check with your insurance plan to understand the coverage details and any out-of-pocket costs associated with weight loss surgery.

Also see

• Does_insurance_cover_weight_loss_surgery (WikiMD)
• Does_insurance_cover_weight_loss_surgery (Wikipedia)

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