Does Insurance Cover Gastric Balloon?

There is presently no information on whether or not the Orbera balloon is covered by insurance. If you are considering this weight loss procedure, however, you should contact your insurance company directly.

Does insurance pay for gastric balloons?

The average cost of a gastric balloon is $8,150. Although your doctor may be able to get part of the costs paid, it is usually not covered by insurance.

Tax deductions and other doctor-specific discounts can often minimize the cost.

This page will tell you all you need to know about the gastric balloon treatment and how to pay for it.

How much weight can you lose with a gastric balloon?

Patients will not lose as much weight as they would with other surgical options because the gastric balloon is developed primarily for persons with a lower BMI. A gastric bypass patient can drop more than 100 pounds, while candidates for the gastric balloon lose 20 to 40 pounds (or 10 to 20% of their body weight) over the course of six months with the balloon in place.

How much does the balloon pill cost?

Kimmy wants to shed 60 pounds. She claimed that gastric bypass and lap-band surgery were not the best solutions for her.

“I feel like cutting your stomach isn’t really the issue,” Kimmy continued, pointing to her mouth.

However, Kimmy’s dilemma is that the medication isn’t available in the US because it hasn’t been approved by the US Food and Drug Administration. It’s available at a Tijuana, Mexico-based weight-loss facility.

The Obalon pill is provided by Dr. Ariel Ortiz, a physician from Tijuana who was compensated by Obalon to help research the capsule. Ortiz goes from his home in San Diego to his clinic, The Obesity Control Center in Tijuana, every day.

Dr. Ortiz’s facility in Mexico offers a variety of plastic surgery operations at a fraction of the cost of similar procedures in the United States.

Thousands of Americans flock to Mexico in quest of low-cost medical care because of his low charges. Ortiz claims that 70% of his clinic’s patients are Americans, and that his staff has received more than 100 calls from patients interested in learning more about the “balloon pill,” the majority of whom are also Americans.

Another alternative for those wanting to shed weight, according to Ortiz, is the balloon pill.

“We’re going to call it an option for some,” he said, referring to people who are terrified of surgery or who don’t fully qualify for it. “It will undoubtedly be a first step for those who are exceedingly overweight and, let’s say, have a very significant surgical risk.” I’m not willing to take that chance.”

So far, the outcomes have been outstanding. Patients have lost 30 pounds in 12 weeks, according to Dr. Ortiz.

Obalon is so new that there is no agreement in the medical community in the United States yet, but there is plenty of curiosity.

While bariatric surgery should be a last resort, Dr. David Katz, who teaches weight management at Yale-Griffin Prevention Research Center in Derby, Connecticut, said his concern about Obalon is the user’s ability to maintain weight loss once the balloon is removed.

“The stomach is a hormone-producing organ, and bariatric surgery affects the production of a hormone called ghrelin, which is one of the procedure’s effects,” he explained.

“Does the balloon have that effect?” Will it be able to compete with the impacts of surgery? Because the surgery’s effects are usually permanent, and if you have a balloon inserted in your stomach to make you eat less and lose weight, are you then reliant on that balloon for the rest of your life?”

Patients come to Ortiz not only for the Obalon capsule, but also for other treatments that are allowed in the US but less expensive in Mexico, such as cosmetic and gastric-bypass procedures, according to Ortiz. The balloon pill costs around $4,000, which is a fraction of the cost of gastric bypass surgery and is far less invasive.

“We use the exact same equipment, instrumentation, and standards as are used in the United States without the overhead expenditures of operating in the United States with all that red tape,” Ortiz explained.

After three months, the pill is meant to be discontinued. Kimmy and Daisy Markley both dropped weight in the first 30 days, with Markley losing 10 pounds and Kimmy losing 22 pounds.

Both women are halfway to their targets, but the main test will be if they can keep the weight off when the balloons come out in two months.

Who qualifies for gastric balloon?

The intragastric balloon, also known as the gastric balloon, is introduced in a non-surgical technique that is quite uncomplicated. Patients who would not normally consider surgery for the treatment of obesity or who want to avoid extreme obesity can use the gastric balloon as an alternate treatment. It’s also a useful alternative for those who need to drop weight before surgery to lower their surgical risks.

Patients must have a BMI of 30 to 40 and have never had prior weight loss surgery to be eligible for this operation. The gastric balloon is best effective for people who need to reduce roughly 30% of their body weight. It can also be used to assist patients in losing weight before to undergoing a more invasive bariatric treatment. To maintain long-term weight loss, patients who have a gastric balloon inserted must follow a 12-month diet and activity plan.

A diagnostic endoscopy is performed by the doctor before the surgery begins. This procedure involves inserting a tiny camera into the esophagus and stomach through the mouth. This is done to confirm that the anatomy is in good shape and that the surgery can be performed safely. The soft silicone deflated balloon is then put orally by endoscopy or tablet ingestion. The balloon expands to about the size of a grapefruit after being inflated with saline. Most patients are sent home after two hours of recuperation.

Benefits of the Gastric Balloon

The fact that the gastric balloon technique does not involve surgery is one of its biggest advantages. The balloon is easy to insert and remove, and the surgery usually results in weight loss of 20 to 50 pounds. Patients who have a gastric balloon experience a decrease in their desire to eat. The surgery is only temporary and can be reversed at any time.

The stomach’s volume is reduced by less than half when the balloon is inflated. It lasts six months in the stomach. The patient will continue their supervised weight loss regimen for another six months after the procedure is completed. People who use a gastric balloon lose three times as much weight as those who only diet and exercise.

What is the best non surgical weight loss?

The gastric balloon is the greatest non-surgical weight loss therapy on the market. It is fully non-surgical and has a low level of invasiveness. The body is free of cuts or microscopic holes.

How It Works

By swallowing or via an endoscopic tube, a deflated gastric balloon is introduced through the mouth (depending on what company you choose). Orbera, ReShape, and Obalon are three varieties of balloons offered in the United States. It takes roughly 20 to 30 minutes to finish each treatment. It passes via your esophagus and into your stomach. When it lands in your stomach, it expands to fill part of the empty space.

This causes patients to feel full sooner while eating, resulting in their eating less and losing weight than they would otherwise. In just six months, patients have shed up to one-third of their excess weight.

Aside from being a non-surgical option, doctors and patients agree that it is a safer alternative to the gastric sleeve, gastric bypass, and even the LAP-BAND. Despite the fact that it is non-surgical, it nevertheless results in significant weight loss while allowing you to eat anything you want, feel fuller for longer, and minimize your hunger.

Weight loss using a gastric balloon has a number of health benefits, including improved diabetes, cardiac health, and joint/bone difficulties.

After the Procedure

The patient is allowed to leave the hospital the same day as the balloon treatment, therefore there is no need for the patient to stay overnight. It takes three days to recover fully, which is faster than the alternatives to a gastric balloon, such as a bypass or sleeve, which can take weeks or months to recover after.

Doctors will be asked to recommend a 14-day transition diet with minor dietary restrictions. When you opt to remove the balloon, the diet transition will help you jump start improved eating and lifestyle habits, which will benefit your future health. The balloon will be removed after 6 months.

Downsides to the Procedure

Although there is a decreased chance of complications with the gastric balloon than with other operations, there are still minor and transitory side effects. If the patient needs to be sedated, general anesthesia risks can cause certain issues.

The balloon has a minimal chance of deflating, which could result in an obstruction. To avoid this, the balloon is loaded with a blue or green dye that causes the urine to become that color, alerting the patient to the fact that the balloon has deflated. Medications may be prescribed to prevent ulcers in some cases. Acute pancreatitis and balloon overinflation are two other hazards.

Because this operation is only temporary, there is a chance of weight gain.

How much does gastric balloon cost in Mexico?

MEXICO’S GASTRIC BALLOON BENEFITS Traveling to Mexico for a Gastric Balloon is safe, convenient, and economical with packages starting at $2,690 USD for the balloon insertion and $900 for the balloon removal with minimal wait times with Health & Wellness Bazaar.

Reduced stool volumes or frequency of bowel movements

This is a typical occurrence, and it usually refers to consuming lesser portions of food. The frequency of bowel motions might range from three times per day to three times per week.

If you’re constipated, make sure you’re drinking plenty of water in between meals and include fiber-rich items in your diet, such as vegetables, fruit, oats, brown rice, whole grain cereals, bread, or pasta.

Heartburn and acid reflux

Gastric balloon patients frequently experience heartburn and acid reflux. Coffee, alcohol, spicy, and fatty foods are among the things that can aggravate it.

Acid reflux may be helped by milk and dairy products. Make sure to choose low-fat dairy products wherever possible. After a meal, do not lie down. It is possible to obtain a prescription for medication.

Odour associated with belching/burping

Food gets lodged in and around the mucus that coats your stomach balloon, resulting in foul-smelling belching or burping. Chew your food thoroughly and walk around to avoid food being trapped around the balloon. To rinse the balloon, take a sip of water 30 minutes after your meal.

Feeling bloated

The balloon has the potential to make you feel bloated and can last up to six months. This is a typical occurrence, and it is induced by the balloon, which is designed to make people feel full. Remember that the bloating is transitory, as is the balloon, and that it will go away once the balloon is removed. Medications can assist to alleviate these signs and symptoms.


If your oesophagus or stomach is ruptured when inserting the gastric balloon, you may experience some pain, but this is quite unusual. The inflation of the balloon may cause pain, however most individuals consider it to be more of a discomfort.

Can you drink alcohol with a gastric balloon?

Is it okay for me to drink alcohol? Although moderate alcohol consumption has no effect on your gastric balloon, it can produce heartburn. It’s crucial to keep your calories under control because the additional calories won’t help you lose weight!

Can you have a gastric balloon twice?

A second surgery, on the other hand, increases the risk of problems such as infection, bleeding, and gastrointestinal leakage. Because of these concerns, if you acquire weight as a result of bad diet or exercise habits, gastric bypass surgery is rarely performed.

What is the newest weight loss surgery?

A newer sort of minimally invasive weight-loss technique is endoscopic sleeve gastroplasty. A suturing device is introduced into your throat and down to your stomach during endoscopic sleeve gastroplasty. Sutures are then placed in your stomach by the endoscopist to make it smaller.