Losing weight with the lap band can be one of the most transformative experiences of your life. Even the benefits that the lap band provides, you may still have difficulty convincing your medical insurance to cover the procedure. The cost of weight loss surgery can get a little expensive. Don't let that intimidate you; it may just take a little extra work to convince your health insurance that you need lap band surgery. Being informed on what you need to qualify for insurance coverage will contribute greatly to your success.
The National Institutes of Health (NIH) have outlined physical requirements that are considered the standard for receiving lap band or other weight loss surgery. Most insurance companies prefer that you meet these requirements. The key qualification is that you are classified as a severely obese individual, not just obese. They are looking for someone with a Body Mass Index or BMI of at least 40. If you are not quite at 40, there are ways to get around this. If you have what the NIH calls a comorbidity, or obesity-related condition, you may still be approved for lap band with a BMI under 40.
What are some common comorbidities?
Diabetes
Osteoarthritis
Congestive heart failure
Hypertension
GERD
Sleep apnea
Gallbladder disease
Insulin resistance
Asthma
The only way to have the best chance of getting your lap band procedure covered by your insurance company is to have an expert working on your side. Our experienced surgeons can assess your condition to see if you can benefit from lap band and if they can help you with insurance issues. Contact us for a free seminar.
