Does Insurance Pay For Weight Loss Surgery

by Patty Allen


Make an appointment with your GP

Tell your GP that you are interested in bariatric surgery and are looking for a referral. Discuss your current medical condition or any medications you are taking and how these may be affected by the surgery.

Can weight loss be covered by insurance?

What types of weight loss treatments do insurers cover? The Affordable Care Act requires most health insurers to cover obesity screening and counseling as preventive care for adults and children. Dietary advice is also available for adults at increased risk of chronic disease.

Bariatric surgery under insurance?

Fortunately, as per the guidelines set by IRDAI (Insurance Regulatory and Development Authority of India) in 2019, bariatric surgery is included in health insurance. Therefore, it is usually mentioned as an inclusion in most health insurance policies.

Who can undergo surgery to lose weight?

To be eligible for bariatric surgery, you must meet the following conditions: Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40 and an obesity-related condition, such as heart disease , diabetes, high blood pressure or severe sleep apnea.

Who pays for weight loss surgery in America?

If you don’t have health insurance, have insurance with a large employer (50 or more employees), or live in a state that doesn’t include bariatric surgery as an essential health benefit, you may have to pay the entire bill yourself.

What type of doctor do I need to lose weight?

These healthcare providers are called bariatric healthcare providers or bariatricians. Some of these healthcare providers may also be bariatric surgeons. Bariatric surgeons are trained to perform surgeries that help with weight loss.

Why isn’t obesity covered by insurance?

No. Obesity is considered a pre-existing condition under the Affordable Care Act (ACA). So, as with all pre-existing conditions, insurance companies cannot force people with a high BMI to pay more premiums.

What is considered pre-existing for bariatric surgery?

Obesity is generally considered a pre-existing condition, so no exemption can apply to the 12 month requirement.

Is bariatric surgery worth it?

“When several attempts at weight loss have failed, bariatric surgery is worth it because its benefits far outweigh the possibility of complications,” says Dr. Sherman. Like all surgical procedures, bariatric surgery carries certain risks. But this risk is low, Dr.

Is bariatric surgery a big deal?

Although bariatric surgery can provide many benefits, all forms of bariatric surgery are major procedures that can carry serious risks and side effects. Additionally, you must make permanent healthy changes to your diet and exercise regularly to ensure the long-term success of your bariatric surgery.


Fortunately, California is one of 23 states that require individual, family and small group insurance plans to cover bariatric surgery through the Affordable Care Act. Most people can get coverage for bariatric procedures through their PPO or Medicare. Exhaust these possibilities first.

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