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Does Anthem Cover LAP-BAND Surgery?

Does Anthem Cover LAP-BAND Surgery?

Anthem 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 855-690-0560, or fill out our free, no obligation FREE LAP-BAND Insurance Verification Form so that our LAP-BAND Insurance Coordinator can verify your Anthem Blue Cross or any other Anthem 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.

Anthem LAP-BAND Coverage

Just as each person is different; Anthem’s LAP-BAND Coverage and pre-approval criteria varies with each insurance plan and prospective patient. Prior to covering any bariatric surgery, Anthem requires 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 psychiatric evaluation prior to qualifying for Anthem’s LAP-BAND Coverage. If Your BMI is below 40, Anthem will also evaluate your weight-related medical conditions prior to granting your authorization for a LAP-BAND Surgery.

Anthem LAP-BAND Requirements

You may automatically pre-qualify for Anthem 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 five years, and
  • You have failed all weight-loss attempts including diets, exercise and weight loss programs.

To see if your Anthem Insurance Plan covers the LAP-BAND Surgery, please call us at 855-690-0560, or fill out our FREE, No Obligation LAP-BAND Insurance Verification Form and we will verify your Anthem Blue Cross or any other Anthem LAP-BAND coverage for you!

Anthem began as an insurance company in the 1980s and merged with WellPoint in 1994. WellPoint currently serves over 33 million members through its affiliated health plans and is the nation’s largest health benefit’s company. Although Anthem no longer exists as a company, WellPoint uses Anthem as a brand name such as Anthem Blue Cross or Anthem Blue Cross and Blue Shield. WellPoint serves its Anthem California health plans members as a Blue Cross licensee.

Disclaimer: This site is not affiliated with or endorsed by Anthem and is for informational purposes only - The following Anthem 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 Anthem policy before proceeding with your surgery.