Does Insurance Cover Weight Loss Surgery?

Does Insurance Cover Weight Loss Surgery?
March 03 09:22 2023 Print This Article

When considering a weight loss surgery, it can be challenging to determine if your health insurance covers the procedure and any associated costs. The answer to this question depends on the type of insurance and other factors. The procedure must be recommended by a qualified surgical specialist and supported by documented evidence proving it’s necessary for your health. Below are some of the information about insurance coverage for weight loss surgery.

What Types of Weight Loss Surgery are Generally Covered?

Typically, insurance companies cover bariatric surgeries such as gastric sleeves, gastric bypass, and lap bands. These procedures are generally considered medically necessary when specific requirements are met regarding body mass index (BMI) and overall health status. In some cases, insurance policies may also cover other less invasive weight loss surgeries such as endoscopic procedures or gastric balloon implants. By seeking help from a medical professional for advanced bariatric surgery in Lubbock, you can get more information about your specific needs. Remember that insurance coverage will vary from person to person.

Who Qualifies for Insurance Coverage?

Each insurance company has its own specific set of criteria that must be met to qualify for coverage. Generally speaking, most insurers require that the patient has tried conventional weight loss methods without long-term success before they will consider covering a surgical procedure. Additionally, BMI must usually be higher than an established minimum for an insurer to consider covering any type of weight loss surgery.

What Are the Steps for Obtaining Insurance Coverage?

In most cases, a referral from your primary care physician is required to obtain insurance coverage for a weight loss surgery. You may need to provide documentation of past attempts at conventional weight loss, also any information regarding existing medical conditions that could contribute to the need for a weight loss surgery.

You may also need to provide proof of any other pre-approval requirements included in your specific insurance policy. Apart from this, knowing how to pay for weight loss surgery without insurance can help you determine other payment options that can be used to cover the costs of the surgery. It will help to work with a qualified medical professional to ensure that you are properly prepared for the insurance company to consider your request.


Weight loss surgery can be a very effective way to lose weight, but there are still many questions surrounding who qualifies for insurance coverage and how much their policy will cover. The key is understanding the guidelines of your specific health insurance plan and taking the necessary steps to get approval for coverage. Knowing what is available and how best to proceed can help you make informed decisions about weight loss surgery. Great luck ahead with your Weight loss journey!

view more articles

About Article Author

Derrick Lopez
Derrick Lopez

View More Articles