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If you d like to make a shift to a medicare plan that can offer additional coverage beyond your original medicare you may want to peruse medicare plan options available within your service area such as a medicare advantage plan.
Weight loss surgery requirements medicare. Medicare s full weight loss policy and more information is available here. The patient must have a body mass index bmi greater than 35 have at least one co morbidity. You can perform bariatric surgery to reduce weight and reduce the risk of problems that extreme obesity causes.
What are medicare bariatric surgery requirements. You can also call medicare service center. Medicare will pay for some types of weight loss surgery if you meet the eligibility criteria.
Medicare s contact information to inquire about surgery. Medicare s contact information page is located here. In order for medicare to cover your weight loss bariatric surgery you must meet the following requirements.
The centers for medicare and medicaid services cms no longer require weight loss surgery hospitals and facility to be designated centers of excellence in order to be covered. However the person is responsible for deductibles copayments and coinsurance. Medicare does cover bariatric surgeries as long as the patient qualifies according to their requirements.
Changing policy on bariatric surgery coverage. Medicare s weight loss surgery full coverage statement. Procedural forwardhealth update 2011 44 changes to bariatric surgery www forwardhealth wi gov.
Last updated on october 6 2020 by lindsay engle. Have at least one co morbidity related to obesity. Medicare coverage for bariatric weight loss surgery is available for individuals eligible due to morbid obesity.
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