(a) Before any treatment for diseases and conditions caused by severe obesity covered under this subchapter begins, a healthcare insurer may require a covered person to successfully complete a preoperative period of no more than three (3) months that may include counseling, nutritional education, and other covered healthcare services to assist in preparation and evaluation for treatment of diseases and conditions caused by severe obesity.
(b) The coverage for bariatric surgery shall only be for covered persons who are eighteen (18) years of age or older.
(c) A healthcare insurer may:(1) Restrict covered healthcare services under this subchapter to those provided in facilities holding accreditation by the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery's Metabolic and Bariatric Surgery Accreditation; and(2) Require that a covered healthcare service for the treatment of diseases and conditions caused by severe obesity under this subchapter receives prior authorization from the healthcare insurer.
(1) Restrict covered healthcare services under this subchapter to those provided in facilities holding accreditation by the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery's Metabolic and Bariatric Surgery Accreditation; and
(2) Require that a covered healthcare service for the treatment of diseases and conditions caused by severe obesity under this subchapter receives prior authorization from the healthcare insurer.