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OEBB

When it’s needed

Coverage for gastric bypass is for plan members who are 18 years or older. In addition, there is a six month waiting period that must be met before the surgery can be performed.

For more details on how services are covered, please see your handbook, or call the Health Navigator team at 866-923-0409.

You must use one of the approved Centers of Excellence in order to receive this benefit. There is no out-of-network benefit.

To be eligible for gastric bypass surgery, you must have completed these eligibility requirements in the last six months:

Medical record documentation that none of the previous weight loss efforts have been sustained and sufficient to address the co-existing medical condition(s) and/or co-morbidity conditions applicable to the patient.

Surgery requirements

Surgeries must be performed at a Center of Excellence Network recognized by OEBB.

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Hello.

We have exciting news to share. ODS is changing its name to Moda Health.

Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.

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