Although the AspireAssist is not yet listed as a covered procedure by any health insurer, some patients have received coverage on a case-by-case basis, or full or partial reimbursement from their insurance company after the procedure. Although some physicians will attempt to bill your insurance, most physicians will require payment upfront. Many physicians will help patients attempt to get reimbursement after the procedure, depending upon the insurance plan they have.

Our downloadable Empowerment Packet can help you understand and navigate the health insurance process to give you the best possible chance for coverage or reimbursement. There are also many financing options available which offer affordable payment plans. Please review the FAQs at the bottom of this page to learn more.

The total cost of the AspireAssist for self-pay patients ranges from about $7,000 to $13,000, depending on your physician and location. This cost typically includes a full year of comprehensive care, including the AspireAssist device, the procedure, follow-up medical visits, lifestyle counseling, and device supplies. However, every physician is different so make sure you ask your physician what the cost includes. Even if you or your doctor will attempt to obtain reimbursement from your insurance company, many physicians will require that you submit payment in advance.

The AspireAssist is an investment in your long-term health, so you can be the best version of yourself – for you and for your family – for years to come. Losing excess weight may also help you reduce costly medications, and can prevent you from developing (or worsening) obesity-related conditions such as diabetes, hypertension, and infertility (1).

AFFORDABLE FINANCING

There are several financing options available to make this procedure affordable for you, with low monthly payments starting at $186 per month. That’s less than the monthly cost of many popular diet plans and fitness classes! Your monthly payment will depend on your credit history, the total amount financed, and the time length of the loan.

The AspireAssist is generally considered a qualified medical expense, and can typically be paid for using your Health Savings Account (HSA) or Flexible Spending Arrangement (FSA)*. These accounts enable you to pay for your medical expenses on a pre-tax basis. To set up an HSA, you typically will need to be enrolled in a High Deductible Health Plan (either through your employer or through a marketplace plan). To enroll in an FSA, you’ll need to contact your employer to determine if FSAs are available to you.

*Consult a tax professional if you intend to seek reimbursement after the procedure from your health insurance.

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.