{"id":170779,"date":"2025-03-26T04:03:27","date_gmt":"2025-03-26T04:03:27","guid":{"rendered":"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/"},"modified":"2025-03-26T04:03:27","modified_gmt":"2025-03-26T04:03:27","slug":"is-orbera-covered-by-insurance","status":"publish","type":"post","link":"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/","title":{"rendered":"Is Orbera covered by insurance?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_62 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title \" >Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#Is_Orbera_covered_by_insurance\" title=\"Is Orbera covered by insurance?\">Is Orbera covered by insurance?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#1_What_is_Orbera\" title=\"1. What is Orbera?\">1. What is Orbera?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#2_How_does_Orbera_work\" title=\"2. How does Orbera work?\">2. How does Orbera work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#3_Is_Orbera_a_surgical_procedure\" title=\"3. Is Orbera a surgical procedure?\">3. Is Orbera a surgical procedure?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#4_Who_is_a_good_candidate_for_Orbera\" title=\"4. Who is a good candidate for Orbera?\">4. Who is a good candidate for Orbera?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#5_How_long_does_the_Orbera_balloon_stay_in_the_stomach\" title=\"5. How long does the Orbera balloon stay in the stomach?\">5. How long does the Orbera balloon stay in the stomach?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#6_What_are_the_potential_risks_or_side_effects_of_Orbera\" title=\"6. What are the potential risks or side effects of Orbera?\">6. What are the potential risks or side effects of Orbera?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#7_How_much_does_Orbera_cost_without_insurance\" title=\"7. How much does Orbera cost without insurance?\">7. How much does Orbera cost without insurance?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#8_Does_Medicare_cover_Orbera\" title=\"8. Does Medicare cover Orbera?\">8. Does Medicare cover Orbera?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#9_Are_there_financing_options_available_for_Orbera\" title=\"9. Are there financing options available for Orbera?\">9. Are there financing options available for Orbera?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#10_How_much_weight_can_I_expect_to_lose_with_Orbera\" title=\"10. How much weight can I expect to lose with Orbera?\">10. How much weight can I expect to lose with Orbera?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#11_Is_Orbera_a_long-term_solution_for_weight_loss\" title=\"11. Is Orbera a long-term solution for weight loss?\">11. Is Orbera a long-term solution for weight loss?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#12_Can_I_have_Orbera_removed_before_the_six_months_are_up\" title=\"12. Can I have Orbera removed before the six months are up?\">12. Can I have Orbera removed before the six months are up?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Is_Orbera_covered_by_insurance\"><\/span>Is Orbera covered by insurance?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>**No, Orbera is not typically covered by insurance. Orbera is considered a weight loss procedure and is often seen as a cosmetic or elective treatment by insurance companies. Patients will likely need to pay for the procedure out-of-pocket.**<\/p>\n<h3><span class=\"ez-toc-section\" id=\"1_What_is_Orbera\"><\/span>1. What is Orbera?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Orbera is a gastric balloon system that is designed to help patients lose weight. It involves placing a balloon in the stomach to reduce the amount of food the stomach can hold, leading to feelings of fullness and aiding in weight loss.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"2_How_does_Orbera_work\"><\/span>2. How does Orbera work?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Orbera works by taking up space in the stomach, which creates a feeling of fullness and can help patients eat smaller portions. This can lead to reduced calorie intake and ultimately weight loss.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"3_Is_Orbera_a_surgical_procedure\"><\/span>3. Is Orbera a surgical procedure?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>No, Orbera is a non-surgical weight loss procedure. The balloon is placed in the stomach through an endoscopic procedure, which does not require any incisions.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"4_Who_is_a_good_candidate_for_Orbera\"><\/span>4. Who is a good candidate for Orbera?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Good candidates for Orbera are adults who have a BMI between 30 and 40 and have been unsuccessful with conventional weight loss methods. It is important for candidates to be committed to making lifestyle changes to support their weight loss journey.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"5_How_long_does_the_Orbera_balloon_stay_in_the_stomach\"><\/span>5. How long does the Orbera balloon stay in the stomach?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The Orbera balloon is typically left in the stomach for up to six months. During this time, patients work with a healthcare team to make dietary and lifestyle changes to maximize weight loss results.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"6_What_are_the_potential_risks_or_side_effects_of_Orbera\"><\/span>6. What are the potential risks or side effects of Orbera?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Some potential risks or side effects of Orbera include nausea, vomiting, abdominal pain, and acid reflux. In rare cases, the balloon can deflate or migrate, which may require surgical intervention.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"7_How_much_does_Orbera_cost_without_insurance\"><\/span>7. How much does Orbera cost without insurance?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The cost of Orbera without insurance can vary depending on the provider and location. On average, the cost of the Orbera gastric balloon system ranges from $6,000 to $8,000.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"8_Does_Medicare_cover_Orbera\"><\/span>8. Does Medicare cover Orbera?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Medicare does not typically cover Orbera as it is considered a weight loss procedure. However, patients should check with their specific Medicare plan to determine coverage eligibility.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"9_Are_there_financing_options_available_for_Orbera\"><\/span>9. Are there financing options available for Orbera?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Some providers offer financing options for Orbera to help patients manage the cost of the procedure. Patients can inquire about payment plans or financing options during their consultation.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"10_How_much_weight_can_I_expect_to_lose_with_Orbera\"><\/span>10. How much weight can I expect to lose with Orbera?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Patients can expect to lose an average of 10-15% of their total body weight with Orbera. Individual results may vary depending on factors like diet, exercise, and commitment to lifestyle changes.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"11_Is_Orbera_a_long-term_solution_for_weight_loss\"><\/span>11. Is Orbera a long-term solution for weight loss?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Orbera is designed to jumpstart weight loss and help patients develop healthier eating habits. While the balloon is only in the stomach for six months, the lessons learned during this time can support long-term weight management.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"12_Can_I_have_Orbera_removed_before_the_six_months_are_up\"><\/span>12. Can I have Orbera removed before the six months are up?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In some cases, the Orbera balloon may need to be removed before the six-month mark due to complications or intolerable side effects. Patients should consult with their healthcare provider if they experience any issues.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Is Orbera covered by insurance? **No, Orbera is not typically covered by insurance. Orbera is considered a weight loss procedure and is often seen as a cosmetic or elective treatment by insurance companies. Patients will likely need to pay for the procedure out-of-pocket.** 1. What is Orbera? Orbera is a gastric balloon system that is &#8230; <\/p>\n<p class=\"read-more-container\"><a title=\"Is Orbera covered by insurance?\" class=\"read-more button\" href=\"https:\/\/namso-gen.co\/blog\/is-orbera-covered-by-insurance\/#more-170779\">Read more<span class=\"screen-reader-text\">Is Orbera covered by insurance?<\/span><\/a><\/p>\n","protected":false},"author":41,"featured_media":107420,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86279],"tags":[],"class_list":["post-170779","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-learn","no-featured-image-padding"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Is Orbera covered by insurance?<\/title>\n<meta name=\"description\" content=\"Is Orbera covered by insurance? **No, Orbera is not typically covered by insurance. 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