Blue Cross and Blue Shield of Texas Obesity Management Web Site for Members




Home Health Risk Assessment For Your Health Program EMMI Bariatric Surgery Decision Support Tool Medical Policy on Surgery Blue Distinction Centers Bariatric Surgery FAQs		Blue Cross and Blue Shield of Texas (BCBSTX) members and their providers will need to consult the member's health plan or contract to determine if bariatric surgery is covered. The health plan or contract defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. The member must also meet certain criteria before being considered eligible for bariatric surgery to treat morbid obesity. BCBSTX Medical Policy defines these criteria. Members are advised to talk with their doctors for an explanation of the Medical Policy. Providers have access to the most current Medical Policy through the Provider portal on the BCBSTX website. To confirm coverage of benefits, members can call the Customer Service number on the back of their member ID card. If the health plan includes coverage for bariatric surgery and treatment, members and their providers will need to obtain preauthorization from BCBSTX before services are performed.

These services do not apply to HMO members. As with other medical conditions, HMO members are encouraged to coordinate their care through their Primary Care Provider.

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of the Blue Cross and Blue Shield Association.