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Lap Band Insurance info, Page 2
As discussed on the prior page, these are the possible
requirements for weight loss surgery that you should ask
your insurance representative about or check your policy
manual for.
- BMI requirements.
Some policies will only cover if your BMI is over
35 or 40 with comorbidities.
- Nutrition consultation with a dietician?
- Psychological consultation and clearance?
- Diet history or prior weight loss attempts?
If yes, do you require a medically supervised diet
(diet and exercise plan documented by a doctor in
your chart) or is a plan like Jenny Craig or Weight
Watchers accepted?
- Documentation of prior weight history?
Many insurance companies require a '5 year weight
history' which is documentation of your weight in
doctors notes for each of the past five years .
- Multidisciplinary program?
Some insurance companies require a 3 to 12 month
preoperative 'multidisciplinary program' meaning
you may have to meet monthly with a dietician, primary
medical doctor, and/or psychologist prior to surgery.
There may be more criteria, please list any that are
required.
NOW WHAT?
1) Get all of your medical records for the past 5 years.
Filling out a release of information form for us to
obtain your records is helpful, but in most cases your
other doctors will release your medical records to you
quicker than the time it takes to mail it to us.
2) Get all copies of weight loss attempts, such as weight
watchers, jenny craig, etc.
3) If possible, get a letter of medical necessity from
your primary care phyisician, or another doctor who
is treating you for weight related issues.
4) If your insurance company requires new consultations,
such as a psychological evaluation, or a nutrition evaluation
call us as soon as possible so that we can help you
schedule these. Ideally you want to complete all requirements
BEFORE your appointment with us.
5) Call to schedule an appointment
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