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Does Aetna Cover LAP-BAND Surgery?

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Aetna will cover your LAP-BAND Surgery as long as you meet your insurance plan’s requirements for bariatric surgery. While you can review your insurance policy package to see what weight control expenses are covered or excluded, you may find it easier to simply give us a call at (855) 690-0565, or fill out our free, no obligation FREE LAP-BAND Insurance Verification Form so that our LAP-BAND Insurance Coordinator can verify your Aetna LAP-BAND Surgery coverage for you. There is absolutely no obligation to have us verify your LAP-BAND coverage and if you don’t meet your insurance policy’s criteria, we can request an individual need assessment, send a letter of medical necessity and help you through the appeal process if necessary.

Aetna LAP-BAND Coverage

Just as each person is different; Aetna’s LAP-BAND Coverage and pre-approval criteria varies with each insurance plan and prospective patient. Prior to covering any bariatric surgery, Aetna requires a Body Mass Index (BMI) of 35 or greater along with a written letter describing your weight history for the last 2 years including all attempted diets, exercise and weight loss programs. You may also be required to undergo a 3 month supervised diet (nutritional evaluation) prior to qualifying for Aetna’s LAP-BAND Coverage. If Your BMI is below 40, Aetna will also evaluate your weight-related medical conditions prior to granting your authorization for a LAP-BAND Surgery.

Aetna LAP-BAND Requirements

You may automatically pre-qualify for Aetna to cover your LAP-BAND Surgery if:

  • You are 100 pounds or more above ideal weight, or
  • You have a Body Mass Index of 40 or greater, or
  • You have a Body mass Index of 35 or greater and suffer from medical problems associated with obesity such as type 2 diabetes, sleep apnea or hypertension.
  • You have been overweight for at least two years, and
  • Adjustments and fills
  • You have failed all weight-loss attempts including diets, exercise and weight loss programs.

To see if your Aetna Insurance Plan covers the LAP-BAND Surgery, please call us at (855) 690-0565, or fill out our FREE, No Obligation LAP-BAND Insurance Verification Form and we will verify your Aetna coverage for you!

Aetna provides medical benefits in all 50 states to approximately 18,602 million members comprised of employer groups, individuals, part-time and hourly workers, health plans, governmental units, government-sponsored plans, college students, labor groups and expatriates. Aetna’s national care network is comprised of more than 981,000 health care professionals, 546,000 primary care doctors and specialists and more than 5,200 hospitals.

Disclaimer: This site is not affiliated with or endorsed by Aetna and is for informational purposes only - The following Aetna LAP-BAND guidelines have been compiled from various public sources. It is presented online for informational use only, and without warranty as to its accuracy, timeliness, or completeness. This site does not replace any official versions of the information presented, nor does inclusion on this list guarantee coverage. Please check your Aetna policy before proceeding with your surgery.

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