Reimbursement bariatric surgery in 2021
Bariatric surgery refers to gastric surgery performed on overweight people. The aim is to reduce weight.
Examples include the gastric bypass, gastric sleeve and duodenal switch.
You qualify for reimbursement under the public healthcare insurance if you meet the following conditions:
- You must have been diagnosed with morbid obesity, i.e. a BMI of more than 40 kilos/m2 or a BMI between 35 and 40 kilos/m2 with serious comorbidity (e.g. diabetes, untreatable hypertension, high cholesterol levels);
- It has to be a last resort (this means that you have made several documented attempts to lose weight under the expert supervision of a dietician);
- The process is aimed at a change of lifestyle and includes cognitive behaviour therapy.
Your doctor determines if you meet the conditions and if you qualify for bariatric surgery.
You need a referral from a general practitioner or medical specialist for bariatric surgery.
Under the public healthcare insurance, you are entitled to a reimbursement of the costs of bariatric surgery if you meet the conditions.
|Public healthcare insurance||100% in the case of contracted healthcare, only if you meet the conditions|
Bariatric surgery is not subject to a statutory personal contribution.
The costs of bariatric surgery count towards your compulsory and, if applicable voluntary excess.
Bariatric surgery is performed by a bariatric surgeon at a hospital.
Our Care Finder helps you find a hospital near you. For more information, please call our Care Advice Line on 0570 68 74 70. Our expert staff will be pleased to answer your queries.