Insurance and Financing Options

Before you consider weight loss surgery as an option for managing your obesity, you should contact your insurance carrier to verify:

  1. Whether weight loss surgery is covered by your policy.
  2. Whether Vanderbilt University Medical Center and the surgeons at the Vanderbilt Center for Surgical Weight Loss are part of your insurance coverage.
  3. The dollar amount for your deductible, co-insurance and/or out-of-pocket maximum.

When calling your insurance company, please use the below codes for the operative procedures:

  • Roux-en-Y gastric bypass: CPT 43644
  • Sleeve gastrectomy: CPT 43775
  • Adjustable gastric band: CPT 43770

Listed below are the names of insurance companies that in the past have approved Vanderbilt patients for weight loss surgical procedures. Contact them directly to determine whether they currently cover weight loss surgery. 

(Last updated 12/22/2014)

Aetna

Anthem Blue Cross Blue Shield (BCBS)

Blue Cross (BC) Advantage Medicare

BC Excellus

BC Wellmark

BCBS Alabama

BCBS Arizona

BCBS Arkansas 

BCBS California

BCBS Florida

BCBS Georgia

BCBS Illinois    

BCBS Indiana

BC Kansas City

BCBS Massachusetts   

BCBS Michigan

BCBS Minnesota

BCBS Nebraska 

BCBS North Carolina

BCBS New Jersey

BCBS Oklahoma

BCBS of Pennsylvania

BCBS Rochester New York

BCBS South Carolina

BCBS Tennessee  

BCBS Texas

BCBS Wisconsin

Capital BCBS

CareFirst BC

CareFirst BCBS

Center Care

CHAMPVA

Cigna

Cigna - Great West 

Consol

Definity Health

Empire BCBS

Excellus BCBS

Federal BCBS

First Health  

GEHA

Great-West 

HealthSpring

Horizon BC

Horizon BCBS

Humana

Humana Medicare    

Medicare Meritain Health

North America Administrators-PHCS

PHCS

Premera BC  

Regence BCBS  

Tricare

United Healthcare 

United Healthcare Secure Horizon Medicare HMO

UniCare

Windsor Medicare

Financing Options for Self-Pay Procedures:

- Wells Fargo