Kaiser Requirement for Weight Loss Surgery
In order to qualify for the coverage of your weight loss surgery with Kaiser Permanente, you need to make sure that your individual policy includes its coverage. Kaiser does offer policies which cover this type of surgery, but not all of them will. In order to find out whether or not your individual policy covers this type of insurance, you may need to directly contact Kaiser Permanente.
The weight loss surgeries that some Kaiser plans do cover includes Lap-Band, Gastric Bypass, and Gastric Sleeve, provided that you meet all of the specific requirements that Kaiser has before giving coverage.
Kaiser Permanente’s Requirements for Weight Loss Surgery Coverage
Kaiser Permanente will cover weight loss surgery in many cases, but there are specific criteria that you need to meet in order to qualify. Namely:
Kaiser Permanente Covers the Following Surgeries
These are the most commonly covered types of weight loss surgery, and Kaiser Permanente covers them all as well. These include:
Procedures that are not covered by Kaiser include the following:
It is important to know that Lap Band fills are also covered, provided that the original procedure was covered by your insurance. If your insurance covers your Lap Band or Realize Band operation, then subsequent band fills, necessary for the adjustment of your band, will also be covered.
Facility Options with Kaiser Permanente
As is typical for patients covered by Kaiser Permanente, you need to remain in-house with this type of procedure. That means that when you decide to have weight loss surgery, you will need to undergo the procedure at a Kaiser facility. This is the best way to make sure that everything you need to have done is completely covered by your insurance policy before you have the surgery.
The Bottom Line
Kaiser Permanente does offer coverage for weight loss surgeries, provided that your individual plan offers the coverage that you need. The most common weight loss surgery procedures are covered by Kaiser Permanente, including the Lap Band, the Realize Band, the gastric bypass and the duodenal switch. Kaiser Permanente does not cover all types of weight loss surgery. Make sure when you are considering weight loss surgery that you ensure it is covered by your policy first and foremost, then make your arrangements accordingly. Your surgeon will work closely with Kaiser Permanente to make sure that all of your care is covered.