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Lap Band Insurance info page 1
We can help you determine if your insurance will potentially
cover the Lap Band surgery for weight loss. Even though
weight loss surgery is shown to be medically beneficial
to seriously overweight people, not all insurance policies
will pay for the cost of Lap Band surgery.
We recommend the following steps to determine if your
insurance policy may pay for the Lap Band surgery.
Call the customer service number on your insurance
card. Tell the representative "I am calling to
check on policy benefits. Is surgery for morbid obesity
a covered benefit? Specifically I am calling to check
for coverage of the Lap Band procedure, CPT code 43770."
If they say yes, ask them "What is required before
authorizing surgery?"
Some insurance policies have outright exclusions.
If you are told your insurance
policy won't cover the Lap-Band, click here.
Often representatives may say "I don't have that
information. You can look up the medical policy bulletin
on our website or refer to your booklet." If so
look it up and get the required information. Sometimes
the representative may say "All you need is a letter
of medical necessity from your primary doctor."
We have found this to almost never be true and you will
eventually find almost always there are specific criteria
to be met before the Lap Band will be covered.
Get the following requirements from either the representative
or your your medical policy:
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