Which insurance companies cover the ESG procedure?

[SammieKay 11]

The health insurance exchange opens up again in November. Which providers cover ESG? Thank you.

[OutsideMatchInside 10,166]

@SammieKay

Pretty sure none, it is experimental surgery done by a handful of doctors in the US. They just started covering the sleeve, it will be years before this is added to the list if ever.

Call the mayo Clinic and ask them.

[SammieKay 11]

There have been several people on this site who've said their ESG was covered by insurance. Let's see if anyone answers.

[OutsideMatchInside 10,166]

@SammieKay

This is your 2nd thread in a month asking this question. Everyone that has the procedure that I have read their posts have been self pay, the few people that said insurance covered it confused it with VSG. There are only a few surgeons performing the surgery and none are in Alabama.

Also Alabama is a state that does not consider bariatric coverage a necessity and plans, marketplace plans, are not required to provide any weight loss or bariatric coverage in the state of Alabama.

[Tex Slim 66 94]

I checked in TX and Aetna will not cover ESG, so self pay for me. Aetna will cover VSG.

[flgirl23 5]

Here is a list of insurance companies who are approving ESG at Brigham and Women's Hospital. This seems to be one of the few facilities that can get it covered under insurance.

Blue Cross Blue Shield

MassHealth

Medicare

Allways Healthcare

Tufts and Unicare are a case by case basis and may require a medical letter of necessity