If you are pursuing insurance coverage for your LAP-BAND® surgery, it’s important to understand what your insurance provider requires. Our insurance coordinator will help you navigate the often-confusing world of insurance and work with you to make sure you stay on track.
If you are planning to use your health insurance for gastric sleeve, you will need to tell that to our insurance coordinator in advance. The documentation and the process necessary for approval may differ.
WHAT DOES MY INSURANCE COMPANY REQUIRE?
Before approving you for bariatric surgery, your insurance provider will likely require documentation on one or more issues related to your health. These may include proof of past attempts at weight loss, psychological counseling, or up to six months of a medically supervised diet.
At DayOne Health, we are committed to helping our patients succeed. We provide many pre-surgical services — such as an on-staff weight-loss surgery
psychologist — that will help you meet these requirements. We will be happy to complete and submit any necessary paperwork to your insurance company.
If your insurance company requires a medically supervised diet, it’s important to schedule and keep your regular appointments with your bariatric dietitian or a weight loss physician. Missing just one appointment during the designated period could mean having to start the entire process over from the beginning.
If you have any questions about your insurance requirements for adjustable gastric banding or a gastric sleeve, don’t hesitate to contact our insurance coordinator at 312-255-1900. We are here to help!
Important LAP-BAND® System Safety Information
Indications: The LAP-BAND® System is indicated for weight reduction for patients with obesity, with a Body Mass Index (BMI) of at least 40 kg/m2 or a BMI of at least 30 kg/m2with one or more obesity-related co-morbid conditions. It is indicated for use only in adult patients who have failed more conservative weight reduction alternatives, such as supervised diet, exercise and behavior modification programs. Patients who elect to have this surgery must make the commitment to accept significant changes in their eating habits for the rest of their lives.
Contraindications: The LAP-BAND® System is not recommended for non-adult patients, patients with conditions that may make them poor surgical candidates or increase the risk of poor results (e.g., inflammatory or cardiopulmonary diseases, GI conditions, symptoms or family history of autoimmune disease, cirrhosis), who are unwilling or unable to comply with the required dietary restrictions, who have alcohol or drug addictions, or who currently are or may be pregnant.
Warnings: The LAP-BAND® System is a long-term implant. Explant and replacement surgery may be required. Patients who become pregnant or severely ill, or who require more extensive nutrition may require deflation of their bands. Anti-inflammatory agents, such as aspirin, should be used with caution and may contribute to an increased risk of band erosion.
Adverse Events: Placement of the LAP-BAND® System is major surgery and, as with any surgery, death can occur. Possible complications include the risks associated with the medications and methods used during surgery, the risks associated with any surgical procedure, and the patient’s ability to tolerate a foreign object implanted in the body. Band slippage, erosion and deflation, reflux, obstruction of the stomach, dilation of the esophagus, infection, or nausea and vomiting may occur. Reoperation may be required. Rapid weight loss may result in complications that may require additional surgery. Deflation of the band may alleviate excessively rapid weight loss or esophageal dilation.
Important: For full safety information please click here, talk with your doctor, or call Apollo Customer Support at 1-855-551-3123
CAUTION: Rx only.