Bariatric surgery services
The most common bariatric surgery procedures are gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with duodenal switch.
Overweight and obesity clinical practice guidelines
Bariatric surgery coverage
Weight-loss surgery may not be covered, especially by self-funded group plans and individual plans. Verify the member's coverage by using Member Inquiry to check the Additional benefits for the Certain surgeries benefit, or call the Provider Helpline.
If/when commercial employer group and MyPriority® individual plans cover certain surgeries, these surgeries may be covered at a different cost-sharing level than our standard benefit coverage levels.
To verify member cost sharing and coverage, use the Member Inquiry tool and look in the Additional benefits drop-down menu for Certain surgeries benefit information.