Question: insurance for lap band ?
i have blue cross/blu shield ins,,and want to know if this type of surgery is covered,,or at least a portion of it?
Answer 1 Lap Band surgery presently has turned to be the most renowned weight loss surgical phenomenon. But choosing the option does have lot of financial impact since the surgery costs quite expensive ranging from $15000 to $25000. Hold on! You need not get worried of the matter much as there are hordes of insurance companies including Medicare available now-a-days that covers the Lap Band surgery procedure. But their services and policy varies from company to company as well as place to place. In order to have approval for lap band surgery from your insurance carrier you need to fulfill certain criteria of the policy.
Most of the insurance company requires minimal BMI (Body Mass Index) of at least 35 or higher and few common criteria in order to grant the surgery. If the insurance plan covers the lap band surgery costs, then it is required to find out the patient criteria and medical requirements for the procedure. Insurance companies follow the NIH (National Institute of Health) guidelines for determining whether or not patient is the right candidate for weight loss surgery coverage. As Lap Band surgery is considered as the last option for the weight loss treatment, it is necessary for you to provide documents that include commercial diet plans, previous weight loss attempts and exercise programs implying your earlier weight loss attempts.
The insurance company will further require a letter of Medical necessity consisting patient’s height, weight, medical records, previous weight loss attempts and health conditions sent by the patient’s primary care doctor or bariatric surgeon. If you are having the support of a qualified surgeon that offers administrative assurance for insurance request or appeal, chances of insurance approval get maximized.
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