Trying To Get Approved For Lapband Surgery

[KeeSh32 99]

Did anybody have any issues with getting approved the first time?

[2muchfun 8,927]

Many do. So many variables can disqualify your application. But, if your plan does provide coverage of WLS you should qualify unless your BMI is under 35 with no co-morbids.

tmf

[KeeSh32 99]

My BMI is no where under 35....I didn't know if it made a difference or not cause I don't have any pre-existing conditions like high BP, diabetes, etc....

[jeani81 93]

Every insurance company is different. Some make you go on 3,6 or 12 month diets. My insurance allowed me the surgery based on my bmi

[Beautiful-B 22]

It varies from company to company. I would recommend you get a copy of your insurance policy and see if bariatic surgery is covered and if it is find out the guidelines for getting it approved. If it covered I would work with my primary doctor to get a referral to a bariatic surgeron. That's the steps I took to get my approval.

[Successful4me 51]

My BMI is no where under 35....I didn't know if it made a difference or not cause I don't have any pre-existing conditions like high BP' date=' diabetes, etc....[/quote']

Mine was 34 & I got approved with a powerful appeal letter.

[smellslikecoffee 43]

I had to do tons of pre op tests like sleep studies, upper GI and even my gallbladder out. After that my insurgence said they wanted 6 month supervised diet. THEN after that my insurance denied me. My BMI was a 52 and then still denied. Luckily I have a great bariatric center and they appealed it and FINALLY I got approved as medically necessary and 3 days later got banded.

It's different for everybody but definitely look into what your insurance covers . Good luck

[Beautiful-B 22]

My procedure was approved in 7 days. I have Tricare Prime. GOOD LUCK.

[willowcat 93]

Kaiser Permanente--sleep study, psych eval, morbidly obese (BMI in 40s), two comorbidities (pre-diabetic, sleep apnea), PCP referral--took about four months for approval and had to pay 50% of the cost of surgery myself. Good luck!

[firefaerie266 53]

My procedure was approved in 7 days. I have Tricare Prime. GOOD LUCK.

This makes me so happy to hear! I have Tricare Standard and was hoping that I could get approved before my husband deploys!