Thursday, June 24th, 2010 at
12:52 pm
Some people believe that the after
weight loss surgery known as the LAP-BAND System limits physical activity. However, the LAP-BAND System does not limit or hamper physical activity. A patient of this procedure should be able to do everything from simple stretches to strenuous exercises. Always check with your doctor about the amount and type of exercise that is best for you. Patients who maintain regular physical activity generally have improved weight loss and health. Most patients will be able to return to work within one week (or less) of having the LAP-BAND System procedure. The LAP-BAND System is frequently performed as an outpatient procedure, with many patients going home within a few hours after surgery.
People who are interested in losing weight often show an interest in the lap band System. The first step is to come in for a free seminar. At the seminar your surgeon and his team will provide their potential patient with information about the procedure, and they will also have an opportunity to meet the members of the team who will provide them with the support they need before and after surgery. Once the patient has made the decision to move forward, the surgeon will verify their insurance coverage and schedule them for a consultation with him or her personally. The surgeon and his team will walk their patient through the process that is required for insurance approval and clearance for surgery. This will include several standard medical tests as well as a consultation with their psychiatrist, with the whole process typically taking about three months for a motivated patients.
Some surgeons are board certified laparoscopic surgeons, and have performed thousands of LAP-BAND System surgeries. A surgeon like this would more than likely be ideal. Most practices have a dedicated operating room team as well so that the procedures go safely and smoothly. More importantly, many of these practices recognize that the surgery is just the first step in a lifelong process. Their caring and experienced staff well be there to support their patients along every step of their weight loss journey, and their comprehensive approach helps their patients to make the most of the procedure and to reach their goals for their health and their lives.
Many people believe having a cheaper procedure performed in Mexico will benefit them. While the LAP-BAND System is cheaper in Mexico, the surgeons there are not currently offering the most advanced device (LAP-BAND AP). More importantly, follow up is critical to success with the LAP-BAND, and for most patients the cost and difficulties involved in frequent travel to Mexico will prevent them from getting the care they need. The surgery is a life-long investment, and any initial savings can easily be offset by poor weight loss or complications due to lack of follow up.
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Thursday, June 24th, 2010 at
6:25 am
The
lap band System has been around since 1994, and over 350,000 have been implanted worldwide. The LAP-BAND System was FDA approved in the U.S. in 2001, and has since rapidly become one of the most popular options for weight loss surgery. LAP-BAND Surgery has been clinically proven as an effective and safe weight loss procedure. Adjustable gastric banding is estimated to be the number one type of weight loss surgery in the U.S. by 2010. Awareness of the LAP-BAND System has increased greatly over the past two years due to the consumer and physician awareness programs of Allergan.
Unlike the gastric bypass surgery, the LAP-BAND System procedure does not require stomach cutting or stapling or gastrointestinal rerouting to bypass normal digestion. The LAP-BAND System is 10 times safer and has 1/10 the serious complications of gastric bypass. LAP-BAND System procedure is frequently done as an outpatient procedure, with a quicker return to normal activity than the gastric bypass. LAP-BAND System is reversible and adjustable. Weight loss at three years is very comparable for both procedures.
The LAP-BAND System can help adults, at least 18 years old, who are 100 pounds over their ideal body weight or have a Body Mass Index (BMI) of 40 or greater. People with a BMI of 35 or greater with weight-related health problems may also be eligible for the LAP-BAND System. Criteria vary by state and payer. A patient who meets the criteria above may not necessarily meet the criteria required by their insurance provider. Ultimately, it is the surgeon’s decision as to who qualifies for surgery. Your best option is to check with your surgeon and ensure that you are clear on his or her selection criteria. Outpatient settings (surgery centers) will typically have additional criteria related to patient selection, for example an upper BMI limit, and restrictions related to the general, respiratory and cardiac health of the patient. The patient should demonstrate a commitment to lifestyle change, and an ability to understand the procedure and what is required of them.
Most major insurance providers, including Medicare, cover the LAP-BAND System for patients that meet the standards set by the FDA. Coverage varies by payer, and is also dependent upon your employer’s specific insurance policy. If possible, offer to verify the patient’s coverage for them. Allergan has a reimbursement hotline that is available to assist you with this process. Be aware of the requirements of the primary payers in your area, as well as the time it typically takes for you to get a patient approved and into surgery. Many payers require a patient to undergo medically supervised weight loss prior to surgery (typically for six months), and this process can significantly delay the process. Many insurance denials are appealable, and Allergan’s Reimbursement Hotline is available to assist you with this process. If a patient’s policy has a specific exclusion for bariatric surgery coverage, their best option is to contact their Human Resources Department. However, they will likely have to pay cash if they wish to have the procedure performed. This is an opportunity to discuss the option of paying cash for the procedure and whatever financing programs you have available.
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