Insurance Accepted

Please contact your insurance coverage to see if your specific health plan covers Bariatric services and surgery especially if you have commercial insurance.

If you do not contact your insurance to know the requirements, you may have to pay out of pocket for visits.

Information to gather from your insurance:

1. Does your plan cover bariatric services and surgery or is it an exclusion or only covered if life-threatening (meaning they do not cover bariatric surgery)?
   • Here are the specific codes that your insurance company may request.
     • ICD code of obesity E66.01
     • CPT code for sleeve 43775
     • CPT code for bypass 43644
2. If your plan covers Bariatric services and surgery, you will need to know what pre-surgical requirement are necessary to qualify for surgery.
   • Example: Medicaid requires 6 consecutive months of medical weight management and psychological evaluation.
3. What is your portion of the cost will be?
4. In case you need to contact them again, it is important to write down who you talked to as well as a reference number for the call.

• Aetna PPO
• Aetna Medicare Advantage
• Aetna Meritain PPO
• Aetna Health First PPO
• Blue Cross Idaho HMO, PPO
• Blue Cross Idaho Individual/Small Group
• Blue Cross Idaho Large Group
• Blue Cross Idaho Medicare Advantage
• Cigna HMO, PPO
• CMS Medicare
• Deseret Healthcare PPO
• Employee Benefit Management Services PPO
• First Health PPO
• Government Employees Health Administrators PPO
• Healthcare Management Administrators (HMA) PPO
• MultiPlan PPO
• Idaho Medicaid
• Indian Health Services
• Liberty Health Share
• Magellan Health Behavioral Health
• Medishare Christian Care
• Molina Health Plans Dually Eligible Special Needs Population
• Molina Health Plans
• Mountain Health Co-Op PPO
• MultiPlan PPO
• PacificSource PPO
• Pan American Life Insurance PPO
• Provider Network of America PPO
• Regence Blue Shield HMO PPO
• Regence Blue Shield
• SelectHealth HMO, PPO
• SelectHealth
• Town & Country Provider Network/Samera Health PPO
• TriWest TriCare
• UHC
• UHC Medicare Advantage
• UMR United
• WEB TPA