Vivaer is a non-surgical treatment for breathing problems that uses radiofrequency technology to reshape nasal tissue. It is becoming increasingly popular with patients seeking an alternative to traditional nasal surgery. However, one question that many people have is whether Vivaer is covered by insurance.
Is vivaer covered by insurance?
If you’re considering VivAer for nasal airway remodeling, you’ll be happy to know that Medicare and several other insurance plans may have you covered! This applies specifically to treatments for nasal valve collapse using a gentle, temperature-controlled radiofrequency method. Remember, your doctor or an ENT specialist must agree that it’s medically necessary for you.
It’s important to note that not all insurance companies are on the same page about Vivier. For example, companies like Medicare, Medicaid, Anthem, United Healthcare, and Cigna currently don’t cover radiofrequency treatments for nasal valves. Medica and Anthem Blue Cross Blue Shield also consider these treatments investigative; hence, they’re not covered. It’s always good to check the specifics with your provider.
If you need more clarification about your insurance coverage for VivAer, don’t worry! The Aerin Care Team is here to help. They can connect you with local doctors and guide you on using your Medicare or insurance benefits for VivAer if they fit certain medical criteria.
In short, while VivAer has got a thumbs up from Medicare and many insurers, it’s always best to double-check with your insurance provider or chat with a healthcare pro who knows the ins and outs of the procedure. This way, you’ll get the most accurate and helpful info tailored to your needs!
How much does Vivaer cost without insurance coverage?
Without insurance coverage, the average cost of Vivaer Nasal Airway Remodeling in the U.S. can range from $3,000 to $5,000 per treatment session. The total cost will depend on factors like:
•The severity of your nasal obstruction or congestion. More severe cases may require multiple treatment sessions, increasing the total cost.
•The experience and qualifications of your doctor. More experienced doctors, especially those in metropolitan areas, may charge at the higher end of the range.
•Whether sedation is used. If sedation is required, it can add $500-$1,000 or more to the total cost. Local anaesthesia alone does not significantly impact the cost.
•The number of treatment sessions needed. Most patients require 2-3 sessions for full results, so you can expect to pay $6,000-$15,000 without insurance.
•Any follow-up procedures needed. In some cases, additional procedures like turbinate reduction may be recommended to enhance results, which can add to the total cost.
•Geographic location. Vivaer treatment may cost slightly more in the Northeast and West Coast of the U.S. compared to the Midwest and South.
What is the insurance code for VivAer?
The insurance code for VivAer is CPT code 30999. This code is used to bill insurance companies for the VivAer procedure, a minimally invasive treatment for chronic nasal obstruction caused by nasal valve collapse. The VivAer procedure involves using a small device to insert tiny implants into the nasal airway, which helps to keep the airway open and improve breathing.
It’s important to note that not all insurance companies cover the VivAer procedure, and coverage may vary depending on your specific insurance plan. Before getting the procedure, check with your insurance company to see if they cover it and your out-of-pocket costs.
If your insurance company does cover the VivAer procedure, you must provide them with the CPT code 30999 when submitting a claim for reimbursement. Your healthcare provider should be able to provide you with the necessary documentation and information to submit a claim.
Is VivAer FDA approved?
Yes, VivAer is FDA-approved. It was the first device to receive FDA clearance for treating nasal airway obstruction in adults. The FDA granted clearance to Aerin Medical, the manufacturer of VivAer, in 2017 after reviewing clinical data from a randomized, controlled trial that demonstrated the safety and efficacy of the device.
What are the benefits of VivAer?
The benefits of VivAer include:
1. Non-invasive: VivAer is a non-surgical, non-invasive treatment that does not require incisions or general anaesthesia.
2. Quick recovery: Most patients can resume normal activities immediately after the procedure.
3. Minimal downtime: Unlike traditional nasal surgeries, which can require several weeks, VivAer typically requires little to no downtime.
4. Long-lasting results: Clinical studies have shown that the benefits of VivAer can last up to two years.
What are the risks of VivAer?
As with any medical procedure, there are some risks associated with VivAer. These risks may include:
1. Nasal discomfort: Some patients may experience mild discomfort or pain after the procedure.
2. Nasal bleeding: There may be some bleeding from the nose immediately after the procedure.
3. Infection: There is a small risk of infection, although this is rare.
4. Adverse reactions: Some patients may be allergic to the local anaesthesia used during the procedure.
In summary, whether Vivaer is covered by insurance depends on your specific insurance plan and the terms of your policy. It is important to contact your insurance provider and consult your doctor to determine if Vivaer is medically necessary for your condition and what your out-of-pocket expenses may be.
