Question:
I want to have the Lap-Band surgery but don't know where to start.

My friend told me about the surgery and I'm very interested, however I'm not sure how to begin the process. I went to one of the seminars, then I called my insurance company and gave them the surgery code. They (Coresource) said that they don't cover any weight loss surgeries, but when I was browsing this website, I noticed that someone used the same insurance company and got approved. Where do I begin? My BMI is a little over 35, I have a hiatal hernia and GERD, back pain due to degenerative disc disease, and muscle and joint pain. Any suggestions?    — a24sgrl (posted on January 18, 2006)

January 17, 2006
You need to get your employee handbook from your employer showing the 'exclusions' - even tho you may have the same 'insurance' it doesnt mean the same coverage - it varies from company to company. Once you know , in writing , its covered then you make an appointment with your surgeon (or if you have to have a referral - call your PCP... again depends on your insurance requirements. If your insurance has an exclusion and doesnt cover it - and you want the lapband then you can deside if you can afford it and self pay. Then all you do is call the surgeons off directly.
   — star .

January 17, 2006
Anita, Having a hiatal hernia is typically a counterindication to having the Lap Band done. Have you considered an alternative type of surgery? Lap Sleeve Gastrectomy seems to be a good option for folks with counterindication. The Lap SG is a great option - retaining pyloric function, normal digestion, and no foreign body implant - and folks really lose the weight. My surgeon has been doing these for some time now - and I've been fortunate to see some really wonderful transformations take place for people. When you're considering your options be sure to make accomodation for your structural issues. I have degenerative joint disease in my back and have bilateral grade 4 degenerationof my knees - so I can have a LOT of structural pain; consequently, I occasionally need to take some heavy duty pain medication and muscle relaxants to control the pain. Pay close attention to which surgerical options allow continued use of pain medications as a post-op. That's one of the reasons why I choose to pursue and have the BPD/DS - I couldn't make it without being able to appropriately medicate when things get rough pain wise. Please let me know if I can help, okay? Blessings, dina
   — Dina McBride