What are the general criteria for coverage?
General guidance is adults 18 and older with a BMI of 40 or higher, or 35 or higher with an obesity-related condition such as type 2 diabetes, sleep apnea, or high blood pressure. These are general guidelines; your insurer sets the exact criteria, and candidacy is confirmed at consultation.
What if surgery is not covered?
If your plan does not cover a procedure, you still have paths. Oneka offers self-pay options, accepts HSA and FSA when run as a credit card, and offers financing through Cherry. Medical weight loss with GLP-1 medication is available as a self-pay path at $150 for the initial consultation plus $100 per month, with medication billed separately.
Benefits verified before you commit
At Oneka Bariatrics & Wellness, a real person verifies your specific insurance benefits and any pre-authorization requirements before you commit to a bariatric procedure. Reviewers of the practice repeatedly praise this insurance advocacy and the relief of knowing their coverage up front.
Coverage criteria in plain terms
Many Georgia plans cover bariatric surgery for adults with a BMI of 40 or higher, or 35 or higher with an obesity-related condition, when other plan criteria are met. Oneka confirms your individual policy rather than leaving you to interpret coverage language alone.
A path forward even without coverage
If insurance does not cover surgery, Oneka offers self-pay, accepts HSA and FSA run as a credit card, and provides Cherry financing. Medical weight loss is available as a self-pay path at $150 for the initial consultation plus $100 per month.