Weight Loss Surgery: FSA Eligibility

Weight loss surgery is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA) with a Letter of Medical Necessity. It is not eligible for reimbursement with dependent care flexible spending accounts and limited care flexible spending accounts (LCFSA).

There are many forms of weight loss surgery. Bariatric surgery, the term given to weight loss surgery, encompasses a variety of procedures performed on people who have obesity.

Why do weight loss surgery?

Studies have shown that these procedures cause significant long-term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors, and a reduction in mortality of 23% from 40%. Weight loss surgery is typically recommended for obese people with a body mass index (BMI) of at least 40, and for people with BMI 35 and serious coexisting medical conditions such as diabetes.

What is Gastric Bypass Surgery?

Gastric bypass surgery (GBP) is a surgical procedure in which the stomach is divided into a small upper pouch and a larger lower pouch and then the small intestine is rearranged to connect to both. There are several different types of GBP procedures since there are many different ways to reconnect the intestine. GBP leads to a reduction in the functional volume of the stomach, accompanied by an altered physiological and physical response to food.

What is Revision Weight Loss Surgery?

This is a surgical procedure performed on patients who have already undergone a form of bariatric surgery, and have either had complications from such surgery or have not successfully achieved significant weight loss results from the initial surgery.

What is Sleeve Gastrectomy?

In this surgical procedure, the stomach is reduced to about 25% of its original size, by surgical removal of a large portion of the stomach, resulting in a sleeve or tube like structure. The procedure permanently reduces the size of the stomach.

What is an Adjustable Gastric Band?

A laparoscopic adjustable gastric band (LAGB), is an inflatable silicone device placed around the top portion of the stomach to slow consumption of food and thus reduce the amount of food consumed.

What is a Duodenal Switch?

This a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect. Approximately 70% of the stomach is removed and a lengthy portion of the small intestine is rerouted, creating two separate pathways and one common channel.

Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)

Eligible

Eligible with Rx

Eligible with LMN

Not Eligible

 


AZ-PROD-WEB02 11/19/2017 12:25:23 PM