MMC Benefits Handbook
Obesity Surgery
The plan covers surgical treatment of obesity provided by or under the direction of a physician. Coverage is limited to once per person per lifetime.
Prior authorization under the condition of meeting the medical definition of morbid obesity is required. All services, including surgery, must be obtained from a recognized in-network Institute of Quality (IOQ). Contact the Claims Administrator for specific details on requirements and how to find a facility.
Travel and lodging expenses to and from your home will be reimbursed as defined below.
  • The patient is eligible for reimbursement if the facility is 100 miles or more from the patient's home.
  • The reimbursement for lodging expenses is limited to $50 per night.
  • The maximum reimbursement for all travel and lodging expenses is $10,000 per episode of care.