Obesity Treatment
TRICARE only covers morbid obesity surgery such as gastric bypass, gastric stapling, sleeve gastrectomy, stand-alone laparoscopic sleeve gastrectomy and gastroplasty when you meet one of the following conditions:
- You’re 100 pounds over ideal weight for your height and bone structure and you have one of these associated conditions: diabetes mellitus, hypertension, cholecystitis, narcolepsy, Pickwickian syndrome, hypothalamic disorders, or severe arthritis of the weight-bearing joints.
- You’re 200% or more over ideal weight for your height and bone structure.
- You’ve had intestinal bypass or other surgery for obesity, and because of complications, you need another surgery.
TRICARE doesn’t cover:
- Nonsurgical treatment of obesity, morbid obesity, dietary control, or weight reduction
- Biliopancreatic bypass, gastric bubble or balloon, or gastric wrapping for the treatment of morbid obesity
Note for Active Duty Service Members: Bariatric surgery represents a major and permanent change in your digestive system that requires strict adherence to a specific dietary regimen that may interfere with operational deployment. A history of bariatric surgery is already a bar to military service, and getting bariatric surgery while on active duty may be grounds for separation. For more information, view the Health Affairs Policy 07-006.
This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.
Last Updated 10/29/2024