Does Medicare cover bariatric sleeve surgery?

Medicare covers bariatric sleeve surgery on a regional basis. To have bariatric sleeve surgery covered by Medicare, you will have to meet a list of eligibility requirements. Under Original Medicare, bariatric surgery may be covered under either Part A or Part B, and those deductibles and coinsurance amounts will apply. Coverage for bariatric sleeve surgery with Medicare Advantage plans varies.

Are you looking for free insurance quotes?

 Secured with SHA-256 Encryption

D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

Full Bio →

Written by

Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

Full Bio →

Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Jan 20, 2021

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.

Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.

The Highlights

  • Medicare covers bariatric sleeve surgery on a regional basis
  • You will need to meet Medicare eligibility criteria for coverage
  • Out-of-pocket costs include deductibles and coinsurance

Does Medicare cover bariatric sleeve surgery? Medicare covers bariatric surgery as long as you meet the right conditions on a regional basis. Original Medicare will cover the procedure either under Part A or Part B depending on whether the procedure is inpatient or outpatient. You will have to pay applicable deductibles and coinsurance amounts. A Medicare Supplement plan can help cover those costs. If you have Medicare Advantage for your health insurance, your costs and coverage may be different.

If you’d like to shop for a Medicare Advantage plan or Medicare Supplement plan to cover bariatric sleeve surgery, enter your ZIP code now.

Will Medicare pay for bariatric sleeve surgery?

Medicare does cover bariatric sleeve surgery on a regional basis when conditions related to morbid obesity are met. According to Medicare.gov, the coverage may be either Part A if it’s inpatient surgery and Part B if it’s an outpatient surgery. To find out if the surgery is available in your region, speak with your provider.

To be eligible to have the surgery covered by Medicare, the patient has to meet these requirements:

  • BMI of 25 or higher
  • Previous obesity treatment that was not successful
  • Illness associated with obesity, including diabetes, heart disease, sleep apnea, high cholesterol, high blood pressure, and certain other conditions

If you have Medicare Advantage, your coverage is through a private insurance company, Contact your Medicare Advantage provider to find out what your particular plan covers.

Your one-stop online insurance guide. Get free quotes now!

 Secured with SHA-256 Encryption

What is the out-of-pocket cost for bariatric sleeve surgery?

If you have Original Medicare, you will have to pay your deductible as well as 20 percent health care coinsurance if you’re using your Part B coverage for outpatient treatment. A Medicare Supplement plan can cover some or all of these out-of-pocket costs.

If you have a Medicare Advantage plan, your plan will determine any deductibles or coinsurance amounts. Plans can differ quite a bit, so check your summary of benefits. You can also request a summary of the expected cost before the procedure.

Does Medicare cover bariatric sleeve surgery? The Bottom Line

Medicare coverage for bariatric sleeve surgery is available on a regional basis. You will have to meet Medicare’s criteria for eligibility in order to have the procedure covered. There will be out-of-pocket costs, but Medicare Supplement insurance can help to pay them.

To compare Medicare plans for bariatric sleeve surgery today, enter your ZIP code below.

Are you looking for free insurance quotes?

Your one-stop online insurance guide. Get free quotes now!

 Secured with SHA-256 Encryption