Insurance Coverage

Below is a list of the major insurance companies that may or may not cover the gastric sleeve surgery. If your insurance company falls under the column that needs to be verified, you need to call them and ask if you have obesity (bariatric) benefits and if so, if they cover procedure code 43775, which is the gastric sleeve.

Insurance Companies That HAVE Benefits for Bariatric Surgery

• Avmed / Miami-Dade County Employees
• Avmed / Jackson Hospital Employees
• BCBS – Federal Plan
• Coventry (Case by case basis)
• United Healthcare Community Plan
• Medicaid HMO Plans
• Full Medicaid / Medicaid Share of Cost
• Medicare
• Preferred Care Partners
• Medica
• Simply Healthcare
• StayWell/Wellcare
• Tricare
• Careplus

Insurance Companies That DO NOT Have Benefits for Bariatric Surgery

• Neighboorhood Health
• ALL Obama Care plans
• Sunshine State
• Ambetter
• Molina
• Cigna Miami – Dade Public Schools
• Preferred Medical Plan
• Florida Healthcare Plus

Insurance Benefits Must Be Verified with Code 43775

• United Healthcare Choice Plus/ HMO plans
• Aetna
• Amerigroup
• BCBS – Out of State plans
• BCBS of Florida
• BCBS Carefirst
• Cigna
• Humana – Open Access plans