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Bariatric surgery

Reimbursement bariatric surgery in 2018

1. What is bariatric surgery?

2. When do you qualify for reimbursement?

3. Referral required for bariatric surgery

4. Reimbursement bariatric surgery in 2019

5. Statutory personal contribution

6. Excess

7. Who can you go to?

1. What is bariatric surgery?

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.

2. When do you qualify for reimbursement?

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.

3. Referral required for bariatric surgery

You need a referral from a general practitioner or medical specialist for bariatric surgery.

4. Reimbursement bariatric surgery in 2018

Under the public healthcare insurance, you are entitled to a reimbursement of the costs of bariatric surgery if you meet the conditions.

 

Health Insurance                                             Reimbursement 2018
Public healthcare insurance 100% in the case of contracted healthcare, only if you meet the conditions

 

Supplementary insurance Reimbursement 2018                   
Start none
Extra none
Plus none
Top none

5. Statutory personal contribution

Bariatric surgery is not subject to a statutory personal contribution.

6.Excess

The costs of bariatric surgery count towards your compulsory and, if applicable voluntary excess.

7. Who can you go to?

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.