How Much Is Lap Band With Insurance?

LAP-BAND surgery costs approximately $3,500 with insurance and $15,000 without insurance. Your final out-of-pocket expenses are determined by:

  • Prices related to the hospital and surgeon you select (if the treatment isn’t covered by insurance, this won’t effect out-of-pocket costs); if it is covered, this won’t affect out-of-pocket costs.

Read on to learn everything you need to know about the cost of LAP-BAND surgery in the sections below.

Does insurance cover Lap-Band surgery?

If you satisfy certain criteria, health insurance now covers bariatric surgery. The extent of your coverage is determined by the medical insurance plan you choose. In India, health insurance companies allow claims for morbid obesity, co-morbidities, and life-threatening diseases that are specified in the policy. If your doctor recommends bariatric surgery, you may be eligible for financial assistance. In most cases, you must provide documentation to the insurer that the surgery is medically necessary.

Bariatric surgery had been a typical exclusion in mediclaim coverage until 2019. Many insurance companies now cover bariatric surgery as a result of technical breakthroughs and new IRDAI guidelines. However, the benefit is only available if the procedure is medically essential and not for cosmetic reasons.

Why should someone consider having bariatric surgery?

Obesity is dangerous to one’s health. A person who is 40% overweight is twice as likely to die prematurely as someone who is ordinary weight. (After 10 to 30 years of being obese, this effect appears.) Obesity is responsible for over 300,000 fatalities each year in the United States alone. Obesity is linked to a number of serious and life-threatening illnesses, including:

Weight loss reduces the chance of death from these illnesses, according to studies. Patients usually no longer need to take drugs for these illnesses after six months of weight loss surgery. Furthermore, women who were infertile prior to surgery find that conception is achievable following surgery.

Who is eligible for bariatric surgery?

You must be morbidly obese and between the ages of 16 and 70 to be considered for bariatric surgery (with few exclusions) (weighing at least 100 pounds over your ideal body weight and having a BMI of 40). If you have certain pre-existing co-morbidities, such as diabetes, cardiovascular disease, hypertension, or sleep apnea, a BMI of 35 to 39 may also qualify you for the surgery.

If you’re a woman of childbearing age who wants to have a family, you should know that you can’t get pregnant for at least 18 months after surgery. Pregnancy is extremely harmful for you and your growing fetus because of the rapid weight reduction and nutritional inadequacies linked with bariatric surgery.

What bariatric surgical procedures are performed by surgeons at Cleveland Clinic?

The Roux-en-Y gastric bypass is the most routinely done malabsorptive operation. This procedure shrinks the stomach and changes digestion. It is possible to eat less food and absorb fewer calories. By separating the top end of the stomach, the bariatric surgeon produces a tiny pouch. The pouch is then linked to a Y-shaped piece of the small intestine, allowing food to bypass the lower stomach, duodenum (first segment of the small intestine), and first portion of the jejunum (the second segment of the small intestine). The operation establishes a direct connection between the stomach and the lower region of the small intestine, allowing calories and nutrients to skip portions of the digestive tract that absorb them.

The sleeve gastrectomy can also be performed laparoscopically. This treatment entails making five or six small incisions in the belly and performing the surgery with the help of a video camera (laparoscope) and lengthy instruments that are inserted via these incisions. Approximately 75% of the stomach is removed during a laparoscopic sleeve gastrectomy (LSG), leaving a narrow gastric “tube” or “sleeve.” During a sleeve gastrectomy, no intestines are removed or bypassed. It takes one to two hours to complete the LSG. Also accessible is an animated video of a sleeve gastrectomy process.

How much weight loss can be expected?

The majority of patients lose between 66 and 80 percent of their excess body weight after bariatric surgery, with the majority of this weight loss occurring 18 to 24 months after surgery.

Is it possible to gain the weight back after surgery?

Bariatric surgery has a proven track record of helping severely obese people reduce weight over time. However, with any form of weight loss, even surgery, there are no guarantees. Only if you are determined to making lifestyle and dietary adjustments for the rest of your life will you achieve success.

What are the risks for bariatric surgery?

All surgical treatments carry hazards, but grossly obese patients are especially vulnerable. Varying treatments carry different hazards, and your risks may be higher or lower than usual based on your own circumstances. It’s also worth noting that weight loss surgery techniques performed by bariatric surgeons with more experience have fewer difficulties. Surgery risks should be reviewed with your surgeon so that you may make an informed decision.

Can bariatric surgery be reversed?

The minimally invasive procedure of laparoscopic gastric banding is reversible. Gastric bypass surgery can be reversed in some cases. Reversal necessitates a second operation of equal or larger magnitude, with equal or greater hazards.

What if I need revision surgery?

Weight loss surgery is not a magic bullet, and while the majority of patients achieve their weight loss goals, revision weight loss surgery may be necessary in some cases. Whether the reason for pursuing revision weight loss surgery is due to insufficient weight loss/regain, unresolved co-morbidities, or medical difficulties, there may be a revision option.

Regardless of the previous surgery, revisional bariatric operations are usually difficult for a surgeon. To obtain the intended results, they require sufficient expertise. Bariatric Centers of Excellence, as designated by the American Society for Bariatric Surgical, offer a multidisciplinary staff and facilities for patients who require surgery revision. Patients who want gastric bypass revision or any other type of revisional surgery should seek out a surgeon at a bariatric facility who has extensive experience with revisional bariatric surgery.

What do I need to know about pregnancy after gastric bypass surgery?

Your body goes through a lot of changes in the first 18 months after gastric bypass surgery. Weight loss is a big one, but your body is also going through hormonal changes that make you more fertile. Please exercise caution during this period and ensure that you do not become pregnant by using a method of birth control. A pregnancy test will be performed if necessary before your procedure.

Much recent research demonstrates that pregnancies in people with a lower BMI are often safer than pregnancies with obesity-related problems. If you’ve had weight loss surgery and are thinking about getting pregnant, talk to your doctor about safe family planning. It’s also a good idea to tell your doctors about it at your weight reduction surgery consultation so they can offer advice and resources.

Because your body is undergoing significant changes during the first 18 months after gastric bypass surgery, it is not recommended to become pregnant until your weight and body have stabilized. Rapid weight loss after surgery causes hormonal changes and may deprive a developing infant of essential nutrients.

How expensive is Lap-Band surgery?

The LAP-BAND (Laparoscopic Adjustable Gastric Banding) system is a weight loss tool that can help people lose weight.

attain their weight-loss objectives The surgical treatment is minimally invasive.

In a surgical center, the procedure is frequently done laparoscopically. An adjustable gastric band is placed during the operation.

around the stomach’s upper esophagus The band can then be tightened, which reduces the amount of food required to feel satisfied.

full. Patients can reduce weight by exercising portion control, eating well, and making other healthy lifestyle choices.

excess weight and maintain it. The LAP-BAND surgery is a non-surgical, minimally invasive procedure that helps patients lose weight.

They will gradually lose weight while also enhancing their overall health. We’ll go over the expense of LAP-BAND surgery if you decide to get it.

The procedure is covered by insurance, and LAP-BAND financing can help.

How much is LAP-BAND surgery?

The LAP-BAND system is priced between $9,000 and $18,000. 1 Prices vary depending on a variety of factors.

Insurance coverage and geographic location are two factors to consider. The health qualities of a patient can also influence the cost.

as well as the surgeon and hospital that have been chosen for the operation. A surgical center is the best place to have LAP-BAND surgery.

It is frequently less expensive than having it done in a hospital. The cost of the surgery itself is merely a portion of the total.

With the LAP-BAND weight loss system, you can lose weight quickly. Patients must be followed by a dietician after having the LAP-BAND surgery.


If not covered, it can cost $75 to $300 every visit in the first year.


Does insurance cover LAP-BAND surgery?

With insurance, the typical cost of LAP-BAND surgery is around $3,500. Most insurance companies cover LAP-BAND.

companies. This means that most plans pay the majority of the costs associated with the operation. Of

Of course, the patient is liable for whatever co-pays, deductibles, or coinsurance their insurance plan requires.

To find out what your individual benefit is, contact your insurance provider.

What is the safest weight loss surgery?

Each type of bariatric surgery has advantages and disadvantages. The surgeon recommends a surgical type based on the patient’s health and needs. Although all surgeries entail some risk, restrictive surgeries are safer than restrictive/malabsorptive surgeries since they do not interfere with the digestive system permanently.

Gastric Banding

This is the simplest and safest of the bariatric procedures. However, the weight loss is less than with the other procedures. Furthermore, people who have had gastric banding are more prone to gain weight in the long run. There is reduced risk of nutrient shortage because the operation has no effect on nutrient absorption.

Sleeve Gastrectomy

For severely obese persons with other health problems, this is a generally safe and easy surgery. Weight reduction is substantial, and nutritional absorption is unaffected. This is a relatively novel technique, and the long-term benefits and hazards are currently being assessed.

Gastric Bypass

This procedure allows for rapid weight loss that lasts for up to two years. It is beneficial to patients with obesity-related illnesses who want to improve their health swiftly. It also has a solid long-term weight-loss track record. Hernias and vitamin deficits due to malabsorption are the disadvantages. Dumping syndrome occurs when food is discharged from the stomach into the intestines before being thoroughly digested.

Duodenal Switch

This surgery is more difficult and risky than the others, and it is also less common. It causes faster weight reduction, but it also increases the risk of hernias, nutrient deficit, and dumping syndrome.

Does a LAP-BAND stay in forever?

Obesity is on the rise, and the number of weight-loss procedures performed each year is also on the rise. Because it is the safest, most effective, and least intrusive of all weight-loss operations now available in the United States, laparoscopic adjustable gastric banding (LAGB), also known as the LAP-BAND, is gaining popularity.

Since 2001, the LAP-BAND has been offered in the United States. Patients often have a lot of questions about the surgery, the band, and what to expect following because of its newness. The goal of this post is to answer some of the issues that my patients who are considering the LAP-BAND operation frequently ask me.

Gastric banding is a procedure in which a silicone band is inserted around the upper region of the stomach, forming a small gastric pouch, through tiny incisions. This band is adjustable and can be removed if necessary.

Although most centers require an overnight stay in the hospital, some are increasingly doing this surgery as an outpatient treatment or “same day” surgery. Within a week, most patients are able to return to work.

The LAP-BAND works by regulating your appetite and portion size. When you eat a modest amount of solid food, the small upper stomach pouch fills up, signaling your brain that you are full.

A simple procedure can be used to modify the LAP-BAND, which can usually be done at your surgeon’s office. A little needle is put into the access port during this procedure, and fluid can be supplied or removed depending on your weight reduction and other circumstances. This is referred to as a “fill” or “adjustment.”

Following gastric banding, you may be able to achieve your goal weight. Following gastric banding, most patients lose around half of their excess weight, and they lose it slowly and steadily, typically one or two pounds per week. When opposed to gastric bypass, which is usually rapid and dramatic, the weight-loss trajectory is extremely different. Your success is determined by what you consume, how often you eat, and how much you exercise. Your LAP-BAND will assist you in portion control. You’ll have to keep the remainder under your control. You may most likely feel uncomfortable or regurgitate your meal if you consume too much too soon or do not chew thoroughly.

Many people question if their LAP-BAND may be removed once they reach their target weight. The LAP-BAND is designed to stay put indefinitely. We know that after the band is removed, patients are no longer pleased with little quantities and begin eating larger meals once more. Although gastric banding is a reversible treatment and the LAP-BAND can be removed laparoscopically, having the band removed once you reach your goal weight is not recommended.

It is possible to become pregnant while wearing an LAP-BAND, although most women are advised to wait a year or two following surgery before trying. Because the majority of weight loss occurs in the first year, it’s usually best to wait until your weight has stabilized before planning a pregnancy. If you’re thinking about getting pregnant, talk to your doctor first. Before you get pregnant, they’ll want to make sure you’re eating a well-balanced diet, taking your supplements, and feeling well. If you do become pregnant, be sure to inform your weight-loss team. They’ll be keeping a careful eye on your dietary status and weight gain.

If you become pregnant, your LAP-BAND will not need to be removed. During your pregnancy, the LAP-BAND will help you with hunger and portion management. The concept of “eating for two” frequently leads to excessive weight gain in women. During pregnancy, you can modify your band. Before delivery, some surgeons advise emptying the band.

Because the LAP-BAND does not induce malabsorption, you will not need the same nutrients as gastric bypass patients. Most patients can get by with just taking a daily multivitamin with minerals and eating a well-balanced diet. Women may also require a calcium supplement on occasion.

Any drug you take for the first month following surgery must be crushed, chewable, in liquid form, or smaller than a regular M&M. You should be able to take most medicines after the first month. You may discover that as your weight loss progresses and your health improves, you no longer require all of your prescriptions. With significant weight loss, many weight-related medical issues improve or disappear completely. Schedule regular follow-up visits with your healthcare practitioner so that he or she can keep track of your weight reduction, medical issues, and prescription requirements.

When most patients eat, they are solely conscious of their LAP-BAND. You may, however, see your access port, especially if you are resting, healing, and still feel a bit sore shortly after surgery.

It can be altered an unlimited number of times. During the first year after surgery, the majority of patients require three modifications. Your surgeon can alter your LAP-BAND as many times as he or she sees fit.

Your surgeon can assist you in determining whether or not you require an adjustment. If you’re hungry, seeking for food, and not losing weight as quickly as you’d like, your band definitely needs to be refilled with fluid. If you’re experiencing early and extended satiety (feeling full for several hours after eating a small amount of food) and losing one to two pounds each week, your band is fine and you don’t need to alter it. If you’re having trouble swallowing, coughing at night, regurgitation, acid reflux, or heartburn, you may need fluid evacuated.

When your band is properly fitted, you should be able to eat a small amount of food and still feel satiated, and you should be able to tolerate most foods. If you’re experiencing trouble swallowing solid foods, it’s possible that you’re not chewing thoroughly enough, that you’re eating too quickly, or that your band is just too tight. If you’re unsure, consult your surgeon.

An adjustment is a quick, painless, and uncomplicated operation. It is normally done in the office of your surgeon. Your doctor may choose to do your correction utilizing x-ray or fluoroscopy on rare instances. If your surgeon is unable to feel or locate your access port, an X-ray is required. If your surgeon feels you have a problem, fluoroscopy can help.

For the first month after surgery, most surgeons require their patients to follow a particular diet. During the first month after surgery, the diet is gradually increased from liquids to pureed foods, soft foods, and finally solid foods. This gradual transition from liquids to solids allows you to become accustomed to eating with your LAP-BAND while also healing your stomach.

You should eventually be able to handle most things in tiny amounts if you chew them carefully, consume slowly, and avoid dry, harsh, or stringy foods. However, you will need to alter your dietary habits. Making permanent lifestyle adjustments, such as eating nutritious foods and exercising, is the key to long-term success after LAP-BAND surgery.

Dory Roedel Ferraro, MS, CS, ANP, has worked in the field of obesity surgery for over 13 years and has played a key role in the growth of bariatric clinics around the country. She got a Master’s degree and licensure as a Nurse Practitioner from Stony Brook University’s School of Nursing. She is the Medical Director of the Long Island Bariatric Center in Levittown, New York, and the Clinical Director of Columbia Presbyterian’s Center for Obesity Surgery at Lawrence Hospital. Dory also serves on the Advisory Board of the OAC.

How do I get approved for weight loss surgery?

You must meet the following criteria to be considered for weight-loss surgery:

  • Have a BMI of 40 or more, or a BMI of 35 to 40 and an obesity-related ailment, such as heart disease, diabetes, high blood pressure, or severe sleep apnea.
  • Weigh fewer than 450 pounds, which is the maximum weight allowed by hospital imaging equipment. A nutritionist can assist you if you need to lose weight to meet this criteria.
  • Check to see whether your health insurance will fund bariatric surgery at UCSF if certain criteria are satisfied. Please be aware that we only accept Medi-Cal patients who are residents of San Francisco County.

How do you qualify for a belly band?


  • You have a BMI of 40 or more, or you are at least twice your target weight, or you are at least 100 pounds overweight.

Is the Lap-Band worth it?

When compared to the other bariatric surgeries, the gastric band was the least successful at facilitating weight loss at 1-, 3-, and 5-year follow-up.” Nonetheless, some surgeons and patients believe it can be quite beneficial for long-term weight loss.

What is the difference between a gastric sleeve and a lap band?

Both lap band surgery and gastric sleeve operations facilitate weight loss by limiting the size of the stomach, but there are some key distinctions to be aware of when it comes to gastric sleeve qualifications.

While gastric bypass surgery has been around for more than 50 years in some form or another, many people are still learning about other weight loss surgical choices. Perhaps this is why so many individuals are perplexed by the key differences between a lap band and a gastric sleeve.

So, what should prospective gastric sleeve patients know about gastric sleeve credentials, particularly if they want their insurance company to authorize them for treatment?

Let’s look at the similarities and differences between these two types of weight loss surgery. A bariatric surgeon reduces the size of the stomach in both procedures, allowing it to hold less food. This can result in rapid weight loss as well as improved overall health.

An adjustable band is stretched over the top portion of the stomach after lap band surgery, leaving just a small piece that can hold food. Weight reduction surgeons remove up to 80% of the stomach in gastric sleeve surgery, resulting in a smaller, sleeve-shaped stomach.

While the principle and end objective are the same, only a select group of individuals will be eligible for gastric sleeve surgery.

Most importantly, unlike gastric sleeve surgery, lap band surgery is reversible. It is impossible to replace a part of the stomach once it has been removed. If you want to lose a lot of weight, gastric sleeve surgery can be paired with a gastric bypass. Gastric bypass surgery has been demonstrated to have a high rate of success, including an 80% reduction in diabetes and a 90% reduction in sleep apnea. When combined with gastric sleeve surgery, the benefits can be enormous.

Weight loss surgery is more than just a cosmetic operation for getting rid of extra fat. It’s a dangerous procedure performed by doctors in medical weight loss programs. Obesity can increase the risk of diabetes by 20 times, as well as high blood pressure, gallstones, heart disease, and stroke. These operations are aimed to combat these potentially catastrophic effects.

Lap band surgery is only available to patients with a BMI of 30 or higher. Patients must, on the other hand, be diagnosed as “morbidly obese” in order to be considered for gastric sleeve surgery. Patients must have a BMI of at least 40 and suffer from at least one major obesity-related health issue to qualify for these more rigorous gastric sleeve procedures.

These medical weight loss options are indicated in both cases for patients whose health is jeopardized by obesity, but only after other weight-loss approaches have failed. Doctors may suggest gastric sleeve surgery over other options when patients need to drop a significant amount of weight to treat serious health concerns.

If you still have reservations about whether you’re a good candidate for gastric sleeve surgery, go to a weight loss doctor in your area. If you live in Alabama, please call our weight reduction surgery clinic as soon as possible.