Does insurance cover the procedure?
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In most circumstances, the answer is yes. Many
insurance companies are willing to pay for obesity surgery if a case can be made
for medical necessity. If you meet the medical criteria established by the
American Society for Bariatric Surgery and the National Institute of Health, our
staff will present the necessary information to the insurance company and
request pre-authorization. Medically appropriate patients usually have their
cases approved and paid for by insurance unless there is a specific exclusion in
your policy.
Some insurance companies require a detailed diet
history. A letter from your primary care physician documenting your weight loss
efforts would be needed. This letter must show that you have participated in at
least one medically supervised weight loss program which lasted at least six
months, along with monthly weigh-ins.
Your primary care physician's office notes must clearly document this
weight loss program.
IF YOU ARE INTERESTED IN THE LAPBAND, PLEASE NOTE:
 LapBand adjustments may not be covered by your
insurance plan.
The 1st adjustment is covered within the post-op period.
Each additional adjustment is $125.00.
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