Lap Band Surgery Cost Without Insurance

Lap Band Surgery Cost Without Insurance? – Overview

Bariatric surgeries are incredibly effective in shedding dangerous, excessive body weight.

Weight loss surgeries are also important in most cases as they can lead to severe health problems, such as type-2 diabetes, high blood pressure, body aches, depression, and cancer.

However, a patient can reduce the risk of these and other health problems by choosing to undergo bariatric surgery, such as Lap-Band surgery.

What is Lap Band Surgery?

Lap Band surgery, also known as adjustable gastric banding, is a weight-loss treatment where the doctor fixes an adjustable belt at the stomach entrance, right where the esophagus connects to the stomach. This band can later be removed, too.

The narrowed entrance to the stomach helps control the amount of food one can comfortably eat, which is why this type of bariatric surgery is classified under restrictive weight-loss surgeries.

Lap band surgery is comparatively more convenient as it is less invasive and has lower risks of complications than other weight loss surgeries.

Although weight loss occurs comparatively slower with lap band surgery, it is still effective and can be more suitable than some other forms of weight loss surgery for certain patients.

How Much Does Lap Band Surgery Cost?

Several factors affect the total cost of lap band surgery in the US, such as geographic location, the hospital and surgeon of choice, etc.

Lap band surgeries usually cost between $9,000 and $28,000. Weight loss surgery costs normally rise in urban and large areas, especially on the West and East coasts.

Is Lap Band Surgery Covered Under Insurance?

Yes, lap band surgery cost is sometimes covered under health insurance; however, it varies from company to company and depends on their specific policy.

Some health insurance plans exclude weight loss surgeries of all types, including those covered under managed healthcare plans for public sector employees.

On the other hand, Medicare offers to cover the cost of lap band surgery for patients who report a BMI over 35 and have undergone unsuccessful weight loss treatments using non-surgical methods, such as restricted dieting and regular workouts.

Medicare covers the cost of lap band surgery for patients who also report at least one co-morbidity caused by being overweight, such as high blood pressure, heart problems, type-2 diabetes, etc.

However, even with insurance coverage, there are several other costs associated with lap band surgery that are often not covered by insurance companies, including office visits and coinsurance for surgery.

For instance, federal employees with Blue Shield health insurance coverage must pay around 10% of the plan allowance and the hospital admission fees.

How is the Cost of Lap Band Surgery Decided?

Insurance companies who offer to cover the cost of bariatric surgeries, such as lap band surgery, usually include the cost of the following factors:

  • Cost for the use of hospital facility and anesthesiologist services
  • Regular follow-up appointments with the surgeon/physician for the first year following bariatric lap band surgery
  • It may also include lifetime memberships in patient support groups

Some of the additional costs that you need to check whether they are included under insurance include:

  • An additional fee of a few hundred dollars for nutritionist and psychologist consultation before and after the surgery
  • The partial cost of sleep study checks whether patients are suffering from sleep problems. This helps insurance companies decide whether to cover the cost of weight loss surgery for a particular patient. Keep in mind that the cost of a sleep study can run up to a few hundred dollars, too.
  • The cost of specific vitamins and nutritional supplements can run up to a few hundred dollars.
  • The cost of follow-up visits in the year following bariatric lap band surgery cost without insurance can be anywhere between $35 and $200 each, according to the length of each visit.
  • Cost to cover correction of complications that may arise following bariatric lap band surgery, which may include the cost of hospitalization and increased medical bills.
  • Cost of aesthetic surgery to remove loose, sagging skin left after noticeable weight loss through skin-strengthening procedures

Conclusion

Lap band surgery can cost tens of thousands of dollars for those not covered under insurance.

To alleviate this high amount, you can choose to take secured medical loans, personal loans or become members of hospital payment plans which help significantly reduce the burden of repayment.

Choosing a certified and experienced bariatric surgeon and specialty hospital is highly advisable to ensure you get the best and most effective lap band surgery for weight loss.

See Also

Does Medicaid Cover Breast Reduction

Does Medicare Cover Cataract Surgery?

What is Medicare?

Types of Plastic Surgery

Current Version
April 12, 2024
Updated By
Andrea Morales G.
October 10, 2021
Written By
Shubham Grover

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