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Does Medicare Cover Bariatric Surgery?

Does Medicare Cover Bariatric Surgery?

Brian Chin
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Updated on
May 4, 2024

Being overweight can be damaging to your long-term health. If you are obese and are looking to change your life for the better, you may consider surgical procedures. And if you’ve wondered, “does Medicare cover bariatric surgery?” you’re not alone.

Many people on Medicare pursue bariatric surgery, but not everyone qualifies. Only certain types of bariatric surgical procedures are covered by Medicare for patients. It starts with meeting with a provider to discuss your health concerns. Here is what you need to know about whether Medicare would cover bariatric surgery for you.

Some Bariatric Surgery Procedures Are Covered by Medicare

It’s difficult to predict exactly which bariatric surgery procedures are covered by Medicare. Every patient’s situation is unique, so there’s no exact standard of coverage. Many times medical professionals will recommend procedures or treatment options not covered by Medicare. Other times, it might cover parts of the procedure, but not everything.

Contacting your Medicare plan provider is the first step in knowing what is covered. The good news is you might have other insurance options through other channels if needed. A spouse’s insurance coverage could be an option. Or a Medicare Supplement Insurance policy could help. Several options are available for financial assistance, and they are all worth looking into.

Bariatric Surgery Near Me: What You Need To Know

When you search for “bariatric surgery near me,” you’ll likely come across a lot of information. When you meet with a doctor, ask them whether it’s an inpatient or outpatient procedure. This can make a huge difference in the amount you pay outside of Medicare. You might have more options than you think based on your overall health and the treatment options available.

If your doctor believes you will be admitted to a hospital, then your Part A deductible is in play. But if you’ll have an outpatient procedure, then your Part B deductible is most relevant. You can plan on paying your full deductible before Medicare starts paying for your procedure. After that, copayments could be in play depending on the care received after your bariatric surgery procedure.

The First Step is Meeting With a Trusted Provider

To have a complete idea of the bariatric surgery cost, you have to meet with your trusted provider. This could be your primary care physician first. They might then refer you to a specialist they trust. You are responsible for being honest about your health and medical history and providing accurate information. By doing so, you will receive the best care possible based on your needs and budget.

Is Bariatric Surgery Worth It?

If you are considering bariatric surgery, then it’s worth it to talk to your medical professional. Your doctor will determine whether you are a good candidate after reviewing your medical history. In most situations, people who proceed with the surgery wish they had done so earlier.

Not only can you look better after bariatric surgery, but you will also feel much better. The thought of having health issues due to being overweight can be harmful to your mental health. Getting the right treatments from a trusted professional is one of the most life-changing choices you can make.

When you’re ready to improve your life with bariatric surgery, BASS Bariatric Surgery Center can help. We offer the top bariatric care in northern California and have many years of expertise in the industry. We will help pursue all financial options on your behalf, including Medicare. Lack of insurance coverage should not stop you from pursuing bariatric care. Don’t hesitate to contact us today to learn more and schedule a consultation.

Revision Surgery Policy
The bariatric surgeons at BASS Bariatric Surgery Center provide revision procedures only for patients whose original bariatric surgery was performed by our team. We do not perform revision surgeries for operations completed at outside hospitals or by other providers. This policy is in place to ensure patient safety and maintain the highest standard of care.