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.
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.
Referral required for bariatric surgery
You need a referral from a general practitioner or medical specialist for bariatric surgery.
Reimbursement 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 healtcare, only if you meet the conditions|
Statutory personal contribution
Bariatric surgery is not subject to a statutory personal contribution.
The costs of bariatric surgery count towards your compulsory and, if applicable voluntary excess.
Who can you go to?Bariatric surgery is performed by a bariatric surgeon at a hospital. Our Care Finderhelps you find a hospital near you.
Also view the Reimbursements 2021.
The information on this page is a brief outline of the reimbursement. You can only derive rights from our insurance conditions (PDF).