Weight Loss Surgery Requirements

Insurance companies generally consider you eligible for weight loss surgery coverage if:

Your BMI is 40 or more OR

Your BMI is 35 to 40 AND you have a major health complication such as:

• Diabetes
• Cardiovascular disease, including high blood pressure, high cholesterol, or significant heart disease
• Debilitating joint pain
• Sleep apnea
• Uncontrolled GERD or acid reflux
• Pulmonary hypertension

If your BMI is below 35, your insurance provider may deny coverage for weight loss surgery. We also know that this can change, as your weight varies over time based on where you are in the dieting cycle.

If You Are a Candidate for Bariatric Surgery
Learn what factors your surgeon will take into consideration when recommending a type of surgery, as well as the pros and cons. Or read about how each procedure works.

• Duodenal Switch
• Gastric Sleeve
• Roux en Y Gastric Bypass

If You Had Bariatric Surgery
If you  did not achieve significant weight loss or are experiencing a complication, we can evaluate your concerns and discuss your options, including:

• Weight Loss Revision Surgery
• Lap-Band Adjustments