Many insurance companies have their own specific guidelines for determining whether weight loss surgery will be covered. And most insurance companies require that you meet certain guidelines before they will approve the coverage.
Since insurance plans vary, be sure to familiarize yourself with your:
- Medical Review Process
- Levels of Coverage
- Deductibles
- Co-payments
Memorial Hermann accepts most insurance plans. However, this is not a guarantee that your insurance company will cover weight loss surgery. Your NewStart surgical lead coordinator can help you determine whether your policy covers the surgery and if your plan has any specific requirements.
Verify Your Insurance for Free
Our program offers FREE, no-obligation insurance verification. We will connect you with an affiliated surgeon’s office to determine whether your plan includes coverage for weight loss surgery. Simply provide us with information about your health and insurance plan and we'll do the rest.
Insurance Affiliates
Memorial Hermann Health System accepts most major health plans. Refer to Health Plans for a list of those we accept, and check with your health insurance carrier for final determination regarding specific covered services. We are committed to working with your doctor, insurance provider and employer to provide you full access to our health care services.
Health Plans
| System-Wide Contracts | Type of Insurance |
|---|---|
| AARP Medicare Complete | HMO |
| Aetna HMO Indemnity | PPO POS |
| Aetna Workers' Comp Access | Workers' Comp |
| Alliance Work Partners | PPO |
| Amerigroup CHIP | HMO |
| Amerigroup Texas - Star | HMO |
| Amerigroup Texas - Star +Plus | HMO |
| Amerivantage | HMO |
| Anheuser Busch | EAP PPO |
| BCBS Health Select | POS |
| Beech Street | PPO |
| Best Doctors | PPO |
| Blue Bell Creameries | PPO |
| Blue Cross of Texas | PPO POS HMO (HMO Blue TX) Indemnity (Traditional) |
| Bravo Health | HMO |
| Brazoria County Indigent Health Care Program | HMO |
| CIGNA | HMO POS PPO Cigna Behavioral Health HMO Cigna Lifesource Organ Transplant HMO Cigna Organ Transplant Network PPO |
| Coastal Comp HealthNetworks | Workers Comp |
| COMPSYCH | PPO |
| CORPHEALTH | PPO |
| Coventry Health Care/First Health | PPO |
| Coventry Medicare Advantra | PPO |
| Department of Assistive and Rehabilitative Services | PPO |
| Definity - United Healthcare Choice Plus | POS |
| Definity - United Healthcare Options | PPO |
| Embassy of Kuwait (Memorial International Patient Care Network) | PPO |
| Employers Health Network | PPO |
| Evercare Medicare Advantage- Plan CH | HMO |
| Evercare Medicare Advantage- Plan DH | HMO |
| Evercare Medicare Advantage- Plan MH | HMO |
| Galveston County Indigent Program | |
| Galaxy Health Network | PPO EPO |
| GWH-CIGNA | HMO PPO POS |
| Golden Rule - Healthsmart | PPO |
| Golden Rule - United Healthcare Choice Plus | POS |
| Golden Rule - United Healthcare Options | PPO |
| HAS Premier/TriSurant | PPO |
| Healthsmart Preferred Care | PPO |
| HealthSmart Accel Network | Restricted Discount Product |
| Healthlink | PPO |
| Heartland Hospice | PPO |
| HMO Blue Texas | HMO |
| Houston Hospice | PPO |
| Humana | HMO PPO |
| Humana Choice PPO | PPO |
| Humana National POS-Open Access | POS |
| Innovative Resource Group/APS Healthcare | PPO |
| Independent Medical Systems (Integrated Medical Systems) | EPO PPO |
| Interface | EAP PPO |
| Interplan Health Group | PPO |
| Jefferson County Public Health Dept | HMO |
| KelseyCare Advantage | HMO |
| Magellan | PPO |
| Medcorp SW | PPO |
| Medicare Part A | Indemnity |
| Medicus--(International) | PPO |
| Molina Healthcare | STAR HMO CHIP |
| Meximed S.A.DE.CV | PPO |
| Mhealth | PPO POS |
| MHealth Unicare | PPO |
| Molina Healthcare | STAR HMO CHIP |
| Montgomery County Hospital District Health Care Assistance | HMO |
| Multiplan National Provider Network | PPO |
| National Choice Care | WorkComp PPO |
| National Healthcare Solutions, Inc. | (International ONLY) PPO |
| National Transplant Network | PPO |
| Odyssey Hospice Baytown | PPO |
| Odyssey Hospice Houston | PPO |
| Pacificare SignatureElite | PPO |
| Pacificare SignatureElite Plus | PPO |
| Pacificare SignatureValue | HMO |
| Pacificare SignaturePOS | POS |
| Pacificare SignatureFreedom | Self Directed Health plan |
| PCCM - Primary Care Case Mgmt | STAR HMO STAR PLUS HMO |
| Private Healthcare Systems | PPO POS |
| Private Healthcare Systems Savility | PPO |
| Provider Select, Inc. (Provider Strategies) | PPO |
| Quality Health Management (QHM) | PPO |
| Secure Horizons | HMO |
| Superior - Fostercare | HMO |
| Texan Plus | HMO |
| Texan Tribute | HMO |
| Texan Value | HMO |
| Texas Children's Health Plan | CHIP HMO |
| Texas Healthcare Foundation | Worker's Comp |
| Texas HealthSpring | HMO |
| Texas True Choice | PPO |
| Three Rivers Provider Network (TRPN) | PPO |
| Traditional Medicaid | Indemnity |
| Tricare Standard/Champus | Indemnity |
| United Behavioral Health | PPO |
| United Healthcare STAR | HMO |
| United Healthcare | PPO POS HMO |
| OptumHealth | PPO |
| UnitedHealthcare - Texas CHIP | HMO |
| Universal Healthcare of TX | POS HMO |
| (Medicare Masterpiece Texas HMO-POS) | |
| University of Houston Sports Medicine | PPO |
| US Family Health Plan (USFHP) | HMO |
| USA Managed Care Organization | PPO |
| Value Options | PPO |
| Vitas Hospice | PPO |
| Wellcare | HMO |
| Whole Foods Market | Worker's Comp |
| WorkLink | Worker's Comp |
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It's about more than a number on a scale. It's about getting back to your favorite activities. It's about getting a boost in both your energy and confidence. It's something to do for you and your health.
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