My insurance doesn't cover weight loss. Can my surgeon bill the endoscopy and anesthesia to my insurance to help with the cost?

Question

My insurance does not cover weight loss procedures... but would it be okay if my surgeon bills the endoscopy and the anesthesia to my insurance to help with the cost... they could say exploratory?

Shim Ching, MD · Answer

Unfortunately, it would be inappropriate to do so.  Please find a provider and practice with the appropriate credentials and safety record to do your procedure.

Christopher E. McGowan, MD · Answer

Unfortunately, because Orbera is not covered by insurance, the individual components of the program (such as the endoscopic placement and removal, or anesthesia) will not be covered by insurance. We really can't bill your insurance for these components because they are only being performed for the elective, non-covered Orbera procedure. In other words, there isn't a work-around to get insurance coverage. That being said, there are great financing options available and you can also use your HSA funds toward the procedure. Hope that helps!

Isaac Raijman, MD · Answer

Thank you for your question. It would be innappropriate for your physician to do that. Placement of Orbera balloon is not covered by insurance, and it includes several items within the plan, such as placement and removal of the balloon. If your physician deems necessary for you to undergo an upper endoscopy for a reason other than placement of the balloon, then it is appropriate to schedule and bill your insurance

My insurance doesn't cover weight loss. Can my surgeon bill the endoscopy and anesthesia to my insurance to help with the cost?

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