Reimbursement

Conceptus, Inc. has resources available to assist you and your office staff with reimbursement issues related to the Essure procedure. Although the hysteroscopic sterilization CPT code has been in place for over a year (effective 1/1/05), there are still many developments in the private and public payer sectors. Please check this page for the latest news.

If you are a registered user on www.essureMD.com, you and your staff have 24/7 access to an entire section filled with instructions, templates and tools to assist you with reimbursement.

Latest Reimbursement News
On February 15, 2006, Cigna added the Essure procedure as a covered benefit for women who have completed child-bearing and desire permanent sterilization. Cigna joins UnitedHealthcare, Humana, Aetna and the majority of private payers, including BlueCross and BlueShield plans in covering the Essure procedure.

In addition, 35 states and the District of Columbia now also cover Essure. The most recent of these Medicaid states include New York, Idaho, Wisconsin, and Texas. It is important to note, that coverage for voluntary sterilization is subject to the terms, conditions and limitations of the individuals benefits as described in their certificate of coverage.



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Dr. George Banuelos
I tell my patients that
I was very uncomfortable offering LTL
in the past because I felt it was like shooting a bird with a cannon.

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