I am curious to know if insurance covers Orbera?

Question

If Orbera is covered by insurance what are the insurance requirements before surgery (currently have state insurance), what type of eating plan are you on post surgery, and how long is hospital stay when surgery is performed?

Shim Ching, MD · Answer

Orbera is not covered by medical insurance.  We offer Orbera coach, which is essentially a virtual dietician, who will recommend appropriate food after your procedure.  There is no hospital stay after the procedure.

Christopher E. McGowan, MD · Answer

Hi, 
Insurance does not cover the Orbera procedure. The cost will vary by region, but is typically between $7000 and $8000. In our program, the cost of the program includes placement and removal of the balloon (done endoscopically) and 12 months of comprehensive care, including monthly dietician visits and 24-hour access to your physician. The placement of the balloon is a same-day procedure. It takes less than 20 minutes and is done under a twilight sleep. We recommend a liquid diet for 7 days after the balloon is placed, then slowly advancing to solids over the subsequent week.

Isaac Raijman, MD · Answer

Thank you for your question. The cost of Orbera varies according to markets. In the Houston area it ranges from $6500-8000. It is not considered surgery as the procedure is performed endoscopically. There is no hospital stay and the nutritional plan varies also as there are different plans to go with the balloon protocol. Insurance does not cover the cost of the balloon. There are financing plans offered with the balloon to assist you. Best of luck to you

H. Joseph Naim, MD, FACS · Answer

Unfortunately at this time no insurance policy cover that Gastric Balloon.
It's done as outpatient, but you need to come back in 6 months for removal.
Currently we have a special price of $6,000.00 for patients living outside our state.

Hugh L. Houston, MD · Answer

The gastric balloon is not covered by insurance at this time.  It is an outpatient procedure so you go home the same day.  Generally, patients are on liquids/protein shakes the first week, then advance as tolerates.  The diet afterwards is similar to gastric bypass or gastric sleeve where patients focus on proper nutrition with the least amount of calories.

I am curious to know if insurance covers Orbera?

Answers (5)

More Orbera Gastric Balloon Questions

Is ORBERA covered by 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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Answers (5)

More Orbera Gastric Balloon Questions

Is ORBERA covered by insurance?

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

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS