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Medica Administrative Manual Home > Health Management and Quality Improvement > Centers of Excellence

Centers of Excellence: Bariatric Care

Safe, High-Quality Care for Medica Members

"Centers of Excellence" for bariatric surgery is a quality-focused clinical initiative that focuses on ensuring members receive safe care from facilities. This program identifies surgical facilities accredited to provide bariatric care, including surgery for morbid obesity and related services.

Through an application process, facilities meet certain qualifications in order to achieve an approved designation for this program. These facilities are accredited by the Metabolic Society Accreditation & Quality Improvement Program (MBSAQIP). More information can be found at www.mbsaqip.org.

Medica network facilities accredited by MBSAQIP and designated as Medica bariatric Centers of Excellence are eligible for reimbursement for bariatric surgical procedures or revisions considered non-investigative. 

A Medica member's coverage may vary according to the terms of the member’s coverage document.

Reminders:

  • Prior authorization is required for all bariatric surgeries.
  • Coverage for bariatric surgery may vary considerably. Providers and members are encouraged to contact Medica by calling the phone number on the back of the member ID card to verify benefits before the member receives any services.
  • Members must verify the facility is part of their network and is also designated as a Center of Excellence, if required.

View the list of approved facilities for the Medica Centers of Excellence Program for Bariatric Care »

Date: 10/22/2017 11:24:21 PM Version: 4.0.30319.42000 Machine Name: PWIVE-CMSWEB01