Is Weight Loss Surgery Covered by Medicare?

Weight loss surgery can be a pivotal solution for individuals struggling with obesity, particularly when other means have been exhausted without success. Many people are curious about whether Medicare offers coverage for this type of surgery. The good news is that Medicare does offer coverage for weight loss surgery, but there are specific conditions and criteria that must be met to qualify for this coverage.

Medicare covers weight loss surgeries such as gastric bypass and lap band procedures, typically under Part B. To be eligible, patients generally must have a Body Mass Index (BMI) of 35 or higher with obesity-related health conditions like diabetes or hypertension. Documentation from your physician supporting the medical necessity of the surgery is also a requirement for Medicare coverage.

Additionally, it’s crucial to seek treatment at a Center of Excellence, as Medicare often requires procedures to be conducted at certified facilities with qualified practitioners. Working closely with your healthcare provider to understand the specifics of your Medicare plan can ensure you’re well-prepared for the steps leading up to and following the surgery, ensuring the best outcomes for your health.