North Carolina Medicaid Coverage for Gastric Bypass Surgery

Bariatric Surgery Under NC Medicaid

Yes. North Carolina Medicaid covers gastric bypass (and other bariatric procedures) for eligible beneficiaries who meet medical necessity criteria:

• BMI ≥ 40, or
• BMI ≥ 35 with at least one obesity‑related comorbidity (type 2 diabetes, hypertension, sleep apnea, heart disease, etc.).

Prior authorization, a multidisciplinary evaluation, and participation in a supervised weight‑management program are typically required. Coverage details are in the NC Medicaid State Plan.