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.