Can I call my insurance company myself to find out if I’m covered?
Yes. We recommend that you follow our guide in the Empowerment Packet to make sure you ask the right questions. Because the AspireAssist is a new technology, many insurance companies will not have the AspireAssist listed by name as a covered procedure. However, there are procedure codes and office visits codes that are available for the AspireAssist.
Are there specific requirments to get coverage?
The requirements will vary by insurance company, and even different insurance plans within the same insurance company may have different requirements. If your BMI is between 35.0 and 39.9, for example, you may need to have certain obesity-related conditions such as diabetes or sleep apnea. Most insurance companies also require that you have documented evidence of your having tried an organized weight loss program prior to any weight loss procedure. (However, if you are paying for the procedure yourself, or through financing, you do not need to meet these requirements).
Can you help me check my insurance benefits before I’ve had my consultation with a doctor?
Yes. We can help guide you in the process of checking your benefits, and help you determine your in-network and out-of-network benefits. However, this does not mean necessarily that your insurance will pay or reimburse for the AspireAssist. To go further with this process, you will need to have a consultation with your doctor.
IF MY DOCTOR DOES NOT ACCEPT INSURANCE, CAN I STILL GET REIMBURSEMENT FOR THE ASPIRE ASSIST?
Even if your doctor does not accept insurance, you may get still get full or partial reimbursement. Please download the Empowerment Packet for step-by-step instructions on submitting your medical expenses for possible reimbursement.
I’VE HAD MY CONSULTATION WITH A DOCTOR, WHAT IS THE NEXT STEP?
If you still have questions after you’ve seen your physician, call us at 1-877-203-1058 for the next steps.
my insurance covers Bariatric Surgery. Does this mean I am also covered for the AspireAssist?
Not necessarily, however, if your insurance covers bariatric surgery, your chance of obtaining full or partial payment for the AspireAssist procedure by your insurance is better than if your insurance doesn’t cover bariatric surgery.
WILL MEDICARE/MEDICAID COVER OR REIMBURSE FOR THE ASPIRE ASSIST?
At this time, Medicare does not have a “coverage determination” (medical policy) specifically for the AspireAssist, however, certain parts of your procedure or care may be covered by Medicare. If you have Medicaid, full or partial coverage may be possible depending on your plan and physician. Please call our insurance specialists for more details at 1-877-203-1058.
*Higher rates may apply for non-qualifying patients or for loans not included in this promotion.
1. Ryan DH, Yockey SR. Weight Loss and Improvement in Comorbidity: Differences at 5%, 10%, 15%, and Over. Curr Obes Rep. 2017 Jun;6(2):187-194.