It is important to check with your insurance company prior to starting this process. Call the toll-free number listed on your insurance card for either benefits or customer service and ask the following questions:
- Ask if the procedure code 43770 (LapBand®) or 43775 (sleeve gastrectomy) is a covered benefit. Be sure to clarify that you are asking about the procedure on the basis of medical necessity.
- Do you have any specific criteria that must be met to have weight loss surgery?
- Are my surgeon and Boone Hospital Center providers under my plan?
- Are nutrition, physical therapy and psychological evaluations covered?
Not all insurance plans have a benefit for weight loss surgery. If the insurance company states that it is covered based upon medical necessity, the surgeon will write a letter to your insurance company describing why you specifically need the surgery done. If the insurance company instructs you that you have a contract exclusion or that it is not a covered benefit then you will need to be able to financially cover the cost on your own.
Boone Hospital has arranged an affordable self-pay price for individuals without insurance coverage. If self-payment is elected, payment is required in advance of your surgery date for this elective procedure.