Bariatric Surgery

Pilot Incentive Program

  • Patients can receive a $500 incentive in the form of a health reimbursement debit card if they complete and document an additional 6 months of Pathways to Change or Weight Watchers after the procedure.
  • The 6 months of Pathways to Change or Weight Watchers* may be completed once per calendar year.
  • The health reimbursement debit card can be used for any eligible health care expense for the current or subsequent calendar years.
    *Weight Watchers participants must attend meetings. The online program is not applicable to this pilot.

Note: participants who have completed weight-loss surgery while covered on a Duke health plan prior to Jan. 1, 2015, are eligible for the $500 incentive if they complete and document an additional 6 months of Pathways to Change or Weight Watchers.

Eligibility

Bariatric surgery will be available for patients who meet all of the following criteria:

  • Employee or covered spouse must be covered under Duke Select, Blue Care or Duke Options
  • Employee must be employed at Duke in a benefit-eligible category for at least 5 continuous years as reflected by your current continuous service date
  • Patient must have a Body Mass Index (BMI) of 40 or more, or between 35-39 BMI with significant co-morbid condition
  • Patient must meet physician's medical/psychological criteria
  • Patient must have fully participated in:
    • Pathways to Change through LIVE FOR LIFE for at least 3 months prior to the procedure, or
    • Weekly documentation of attendance at Weight Watchers*, evidence of two visits to a nutritionist, and an exercise log showing physical activity at least three times/week for at least 3 months prior to the procedure.
      *Weight Watchers participants must attend meetings. The online program is not applicable to this pilot.

The surgery will only be available at a Duke facility. There will be a co-pay of $2,500. Ask your physician for more information if you believe you are eligible for bariatric surgery.