Insurance

✓ Reviewed by Dr. Michael Torres, MD, FACS · Bariatric Surgeon ✓ Sources: ASMBS, CDC, CMS, NCQA ✓ Updated 2025–2026

Aetna Bariatric Surgery Coverage: Criteria, Prior Auth & What to Expect

Aetna covers bariatric surgery — but only if you meet specific criteria. Here's what Aetna requires, how prior auth works, and managed care nuances to know.

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Bariatric Surgery HSA & FSA: What's Eligible, Limits & Post-Op Items

Bariatric surgery is a qualified HSA/FSA medical expense. Learn 2025 contribution limits, what post-op expenses qualify, and how to maximize your tax-advantaged savings.

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Bariatric Surgery Insurance Checklist: Step-by-Step to Get Coverage Approved

Step-by-step bariatric insurance checklist: verify benefits, get referral, document 6 months, submit prior auth. Avoid the mistakes that delay or deny coverage.

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Bariatric Surgery Insurance Coverage: What Plans Actually Pay

Does insurance cover bariatric surgery? Learn the NIH criteria, which plans cover it, what triggers denial, and how to navigate the approval process.

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Bariatric Surgery Insurance Denial Appeal: 45% Success Rate & How to Win

About 45% of bariatric surgery insurance denials are overturned on appeal. Here's how to write a winning appeal, request external review, and use peer-to-peer review effectively.

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Bariatric Surgery Insurance Requirements: What You Need Before Approval

Most insurance plans require 3–6 months of supervised diet, psych evaluation, and nutrition counseling before approving bariatric surgery. Here's exactly what to expect.

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Bariatric Surgery Prior Authorization: Timeline, Documentation & Peer-to-Peer

Prior authorization for bariatric surgery takes 2–8 weeks. Here's the full documentation checklist, timeline expectations, and how peer-to-peer reviews can flip a denial.

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Bariatric Surgery Without Insurance: Self-Pay Costs and Negotiation Guide

Self-pay bariatric surgery costs $10,000–$30,000 in the U.S. Learn how to get all-inclusive bundled pricing, negotiate discounts, and find legitimate cost-reduction options.

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BCBS Bariatric Surgery Coverage: Plan Variation by State & Federal Employee Plans

BCBS bariatric surgery coverage varies dramatically by state and plan. Here's how to decode your specific BCBS plan, plus federal employee (FEHB) coverage details.

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Cigna Bariatric Surgery Coverage: Requirements & 6-Month Diet Documentation

Cigna covers bariatric surgery but requires specific documentation including a 6-month supervised diet. Here's exactly what Cigna needs and how to get approved.

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Employer Insurance and Weight Loss Surgery: ERISA, Self-Funded Plans & How to Check

Your employer controls bariatric surgery coverage more than your insurer does. Learn how ERISA self-funded plans work, how to check your specific coverage, and your appeal rights.

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Humana Bariatric Surgery Coverage: Tiers, Gold Plus Plans & Requirements

Humana covers bariatric surgery across several plan tiers. Learn which Humana plans cover weight loss surgery, criteria for Gold Plus plans, and the prior auth process.

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Medicaid Coverage for Bariatric Surgery: State-by-State Guide

Medicaid covers bariatric surgery in most states — but rules vary dramatically. See which states cover it, what they require, and how to navigate your state's process.

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Medicare Coverage for Bariatric Surgery: What Part A and B Pay

Medicare covers bariatric surgery for beneficiaries with BMI ≥ 35 and a comorbidity. Learn the requirements, approved facilities, and what you'll pay out of pocket.

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UnitedHealthcare Bariatric Surgery Coverage: Criteria & Center of Excellence

UnitedHealthcare covers bariatric surgery with a Center of Excellence requirement. Learn UHC's BMI criteria, prior auth process, and how to find in-network COE facilities.

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VA Bariatric Surgery Coverage: MOVE! Program, Eligibility & Surgical Criteria

Veterans may qualify for bariatric surgery through the VA. Learn about the MOVE! program requirement, VA surgical eligibility criteria, and how to start the process.

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