MMC Benefits Handbook
Obesity Surgery
NOTE: Out-of-network services are not covered under the Anthem BCBS Narrow Network (National Blue High Performance Network (Blue HPN Non-Tiered)) except for urgent and emergency care.
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 Blue Distinction provider. Contact the Claims Administrator for specific details on requirements and how to find a facility.
See "Travel and Lodging" for information about reimbursement for travel and lodging expenses related to obesity surgery.