I coordinate health insurance for our company and every one I looked at excluded bariatric surgery. My insurance agent told me that Texas still hasn't determined that bariatric surgery is medically necessary, so insurance companies don't have to cover it. Contrary to the post above, it's probably not your employer excluding it. My doctor said Humana and BCBSTX were the worst at trying to get approval. Some other insurance companies will approve you after you jump through some hoops. Good luck!