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).