I have been thinking a lot about the lap band, and just found out my insurance covers. I will be going to a seminar on the first of March and was wondering if any of you can give me an insight as to what happens, and the following steps. If my insurance covers, do I still need them to approve the surgery? I rarely go to the doctor, so I don't have a long term primary physician. I had a psychical done last week and this doctor told me I couldn't get it done because I do not have a long term chart with my weight issue. My BMI is over 40, but I am healthy, with no obesity related illnesses, which is why she also said my insurance would not cover the procedure. I'm just so confused..any info will be much appreciated. Thanks in advance!

It all depends on your insurance carrier, I would recommend calling them today to find out that their guidelines are. That is true that some have stipulations that you must have a 5 year history of obesity, some want you to document dieting for 6 months. It just varies from insurance to insurance so that is a hard question to answer until you talk to them. good luck

In addition to speaking with your insurance company You may want to consult with a bariatric surgeon who is used to dealing with insurance companies. They might be able to give you some insights as to what you need to do to get it covered. It may involved a medical supervised diet up front but they would be able to guide you as they do it everyday as opposed to a primary dr who does not. Just a thought.

Best wishes on your journey.

This is just me, but it sounds like you've got one of those anti surgery docs with too little background with successful WLS patients. You should call your insurance company and find out what they cover and what you have to do to be covered. BMI over 40 usually is an automatic qualifier.

tmf