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Bariatric Surgery

Provider Type

  • Physicians (does not apply to Cal MediConnect)
  • Participating Physician Groups (PPG)
  • Hospitals

Bariatric surgery provided for the treatment of morbid obesity is covered when medically necessary, approved by Medicare, authorized by Health Net or a delegated participating physician group (PPG) and performed by a participating surgeon.

Direct network physicians and non-delegated PPGs may submit prior authorization requests for bariatric surgery to the Health Net Medical Management Department.

Last Updated: 11/05/2019