Call your insurance company and ask them the following
question: “I am considering having an operative procedure
performed whose CPT code is 43644 (roux en Y), 43770
(Lap-Band®). Is this procedure an exclusion on my group
policy?”
If it is an exclusion then surgery for obesity is not, nor
can it become, a covered benefit. If you would like a more
information concerning the cost for the Lap-Band please call
our office and ask to speak with Brenda Fisher.
Even if surgery for obesity is covered, to qualify you
must:
- Have a body mass index of 40 or more, or a body mass
index greater than 35, if you also have significant medical
problems. Calculate your body
mass index
- Be 18 years or older
- Weigh less than 400 pounds
Finally, stop smoking! The risks of
anesthesia are greatly increased if you are actively smoking
and it takes about a month for the lungs to recover. Stop now!
If you do not quit, or cannot quit, your surgery will likely be
cancelled.
The path to surgery typically takes two to three months
after your first clinic visit. Each individual
is carefully evaluated for all related medical conditions. This
often require special studies and occasionally consultations
from medical specialists.
Only after we are completely satisfied that weight loss
surgery is right for you and that both you and we are fully
aware of associated risks will we proceed with the scheduling
of surgery.
Patient Manual Index