Lap-Band Surgery & Insurance Coverage: What You Need to Know

Some insurance companies cover adjustable gastric banding (Lap-Band Surgery) if you meet certain criteria. Guidelines vary from one plan to another, so contact your insurance company to ask about the conditions and stipulations on your plan.

Body Mass Index

• Many insurance companies will cover Lap-Band surgery if you have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with one or more co-morbidities.

Co-Morbidities

• Co-morbidities are health problems that are related to obesity. Qualifying co-morbidities for insurance coverage may include diabetes, high blood pressure, or sleep apnea.

Diet

• Many insurance plans require you to follow a supervised diet for up to six months in order to be approved for Lap-Band surgery.

History of Weight

• To qualify for insurance coverage, you may need to provide medical documentation indicating you have been overweight or obese for at least five years.

Psychological Evaluation

• Some insurance companies also require a psychological evaluation to demonstrate that you are capable of handling the pressures and stresses that follow Lap-Band surgery.