Does Medicaid Cover Weight Loss Surgery. Medicaid guidelines for coverage of bariatric surgery bariatric surgery is considered medically necessary when it is used as a treatment for medical conditions that were caused by or worsened by the patient s obesity. The weight loss surgery must be performed at a bariatric center for excellence which are facilities having achieved a level of excellence in bariatric surgery.
Weight loss drugs are not a mandatory medicaid benefit but many state medicaid programs. There are certain criteria that you need to meet to prove the procedure is medically. Patients will need to meet several different requirements to qualify for surgery and coverage through medicaid.
There are many types of surgery that you can undergo weight loss but medicaid only covers the most common ones.
They will also need to be free of any medical issue that prevents them or creates a risk for them to have surgery in general. There are certain criteria that you need to meet to prove the procedure is medically. However it is best to check with your state on an individual basis to confirm that they do not offer it as a benefit separate from mandatory federal benefits. Medicare will cover weight loss surgeries if your doctor recommends the procedure based on medical necessity.