Cigna 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 or bariatric management 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 Cigna 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.
Cigna LAP-BAND Coverage
Just as each person is different; Cigna’s LAP-BAND Coverage and pre-approval criteria varies with each insurance plan and prospective patient. Prior to covering any bariatric surgery, Cigna may require a Body Mass Index (BMI) of 35 or greater along with a written letter describing your weight history for the last 5 years including all attempted diets, exercise and weight loss programs. You may also be required to undergo a 6 month supervised diet (nutrition evaluation) and a psychiatric evaluation prior to qualifying for Cigna’s LAP-BAND Coverage. If Your BMI is below 40, Cigna will also evaluate your weight-related medical conditions prior to granting your authorization for a LAP-BAND Surgery.
Cigna LAP-BAND Requirements
You may automatically pre-qualify for Cigna 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 a life-threatening or disabling problem that is related to your weight such as cardiovascular disease, mechanical arthropathy, lower extremity lymphatic or venous obstruction, hypertension, hyperlipidemia, type 2 diabetes, severe obstructive sleep apnea, coronary artery disease or pulmonary hypertension.
- You have been overweight for at least five years, and
- You have failed all weight-loss attempts including diets, exercise and weight loss programs.
To see if your Cigna 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 Cigna LAP-BAND coverage for you!
Cigna’s inception as an insurance company began in Philadelphia's Independence Hall in 1792 and has grown into a national network with over 500,000 quality health care professionals and over 8,000 hospitals and facilities. Cigna also offers discount programs for weight management, nutrition products and fitness club memberships.
Disclaimer: This site is not affiliated with or endorsed by Cigna and is for informational purposes only - The following Cigna 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 Cigna policy before proceeding with your surgery.
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