Medicaid’s requirements for weight loss surgery coverage are a little different as compared to other insurance plans, typically because Medicaid is unique in who they cover and how they cover their patients. You need to meet a number of specific requirements in order to qualify for weight loss surgery through Medicaid, and you also need to be free from any medical issues that would prevent you from having surgery. If you pass these two tests, then Medicaid will generally pay for your weight loss surgery.
In order for Medicaid to completely cover the cost of your surgery as well as the associated visits with your surgeon, you are going to need to meet all of the following criteria.
Some people will not qualify for weight loss surgery through Medicaid. If you have any of the following conditions or issues, you will not qualify.
Assuming that you meet all of the criteria mentioned above, Medicaid will pay the coverage for the following weight loss surgery procedures:
One of the requirements for Medicaid to pay for your surgery coverage is that you need to have your weight loss surgery done through a Center for Excellence. Bariatric Center for Excellence accreditation is designed to indicate which bariatric surgery centers have achieved a level of excellence when it comes to administering bariatric surgery. Medicaid requires that you visit one of these specific centers to guarantee that you get the best possible treatment.
If you have questions about your Medicaid coverage and whether or not your coverage will pay for weight loss surgery, the best thing to do is to contact the people at Medicaid directly to discuss your coverage. There are many types of surgery that you can undergo weight loss, but Medicaid only covers the most common ones. If you’re looking to have a different type of weight loss surgery aside from gastric bypass, lap gastric banding or gastric sleeve surgery, then you will need to look for a different type of insurance coverage or you will need to pay out-of-pocket for the procedure.
*Medicaid will not pay for weight loss surgery in Mexico