Lap Band Insurance and Billing Information
We are committed to providing the strongest LAP-BAND® bariatric program in the nation. We realize that the LAP-BAND® procedure, while an excellent investment in your health and future, can also be a daunting one—especially if it isn’t fully covered by insurance.
We can help you figure out the financial side of things! Just give us a call at (844) 237-5073 (BAND), and one of our patient specialists will be happy to answer your questions.
Addressing Your Concerns About Insurance and Cost
Do you have concerns about insurance and billing for the LAP-BAND® procedure? Getting insurance coverage for weight loss procedures can be complicated, but we are here to help!
Not every insurance carrier will cover bariatric surgery. Even when they do, they may have strict guidelines that must be followed before they will provide coverage.
The general guidelines for bariatric surgery are a body mass index (BMI) of 35 or higher. Some insurance plans may require a patient with a BMI of 35-39 to also have one or more diagnosed medical conditions such as diabetes, obstructive sleep apnea, heart disease and more, before they will cover the cost of surgery.
Helping You Verify Insurance Coverage
oBand® will help you figure out the requirements for insurance coverage. We have experience and expertise in submitting prior request authorization paperwork and getting administrative answers in a timely and efficient manner. If you meet our medical requirements for a lap band procedure, but your insurance company is refusing to cover it, we will advocate for you. When appropriate, our multispecialty team can provide a “letter of medical necessity” to your insurance company explaining that significant weight loss is medically necessary for you, and surgery is your only option. In the event that coverage is not initially authorized by your insurance carrier, we will continue to present your case if you are a candidate with extenuating circumstances.
We work with many private PPO insurance plans. To get an insurance verification, contact us at (844) 237-5073 (BAND). A patient specialist will be happy to guide you through billing and insurance for oBand® weight-loss surgery.