Fair Square Medicare Wordmark

Is Balloon Sinuplasty Covered by Medicare?

Sinusitis. stock illustration

By Daniel Petkevich

Dec 1, 2022

Breathe easy, you're covered

If you are reaching your wit's end and have tried numerous medications and treatments for your sinusitis, you might want to consider a balloon sinuplasty. The balloon sinuplasty will be covered if deemed medically necessary by your doctor. So what are the perks of the procedure? Let's find out.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

What is balloon sinuplasty?

Balloon sinuplasty is a minimally invasive procedure that uses balloons to open the sinus passages. This can improve breathing, reduce pain and pressure in the head, and make it easier for mucus to drain. Benefits of balloon sinuplasty include reduced recovery time – no cutting or stitches are required; less discomfort during and after the procedure; shorter hospital stays; and improved success rate in sinus pain relief. Other benefits include improved drainage, reduced mucus buildup, and better overall sinus health.

How is balloon sinuplasty performed?

Balloon sinuplasty is performed by inserting a thin wire with an attached balloon at the end into the blocked sinus passage. The balloon is then inflated to open the passageway. Once this is done, a saline solution may be used to flush out any mucus or debris that has built up in the area. The procedure generally takes around an hour, and a patient can expect to be discharged within two hours after the procedure.

What are the risks associated with balloon sinuplasty?

Balloon sinuplasty is generally considered to be a safe procedure. However, there are some potential risks involved. Risks may include bleeding, infection, damage to the surrounding tissue, and possible allergic reaction to the saline solution used during the procedure.

It is important to talk to your doctor about any risks associated with the procedure before undergoing balloon sinuplasty. Your doctor can also provide you with more detailed information on what to expect and help guide you through the process.

Is balloon sinuplasty covered by Medicare?

Yes, balloon sinuplasty is covered by Medicare if it is deemed medically necessary. Your doctor will need to submit a claim form in order for the procedure to be approved and covered by Medicare. Depending on your individual situation, the costs of the procedure may be partially or fully covered by your Medicare plan. To minimize your out-of-pocket costs, we typically recommend a

Medicare Supplement Plan G

. Otherwise, you could pay as much as 20% of the Medicare-approved amount.

How to find a qualified doctor who performs balloon sinuplasty?

Finding a doctor who performs balloon sinuplasty is easy. Start by speaking with your primary care physician or calling your local hospital to find out which doctors in your area perform this procedure. You can also look for doctors online who specialize in the procedure and read reviews from past patients. Make sure to ask any questions you may have about their experience and qualifications. Finally, check with your insurance provider to make sure the doctor is covered under your plan before making an appointment.

Takeaway

Balloon sinuplasty is a safe and effective procedure that can reduce pain and pressure in the head, improve breathing, and make it easier for mucus to drain. Medicare will cover balloon sinuplasty if medically necessary. Be sure to talk with your doctor to make sure a balloon sinuplasty is right for you. This content is for informational purposes only. For all your Medicare-related questions, our experts are ready to talk with you today. Call Fair Square Medicare.

Speak with a Medicare Advocate

Talk to one of our Licensed Medicare Agents today to find the right plans for you.

Recommended Articles

Physiotherapist showing workout record on exercise bike

Does Medicare Cover Exercise Physiology?

Jan 11, 2023

Doctor physician consulting with male patient in hospital exam room stock photo

Does Medicare Cover Penile Implant Surgery?

Dec 9, 2022

Cover image

Does Medicare Cover Cold Laser Therapy (CLT)?

Jun 14, 2023

Kidney stone stock image

Does Medicare Cover Kidney Stone Removal?

Nov 23, 2022

Senior black man standing up and experiencing knee pain stock image

Does Medicare Cover Zilretta?

Nov 28, 2022

What is the ICEP?

What is the Medicare ICEP?

Apr 7, 2023

Cover image

How Much Does a Medicare Coach Cost?

Mar 20, 2023

Screenshot 2025-03-19 at 5.02.46 PM

2024 Fair Square NPS Report

Mar 19, 2025

Senior woman smiling after vaccination stock photo

Does Medicare Cover Flu Shots?

Dec 9, 2022

Union Station in Denver stock image

15 Best Ways for Seniors to Stay Active in Denver

Mar 9, 2023

Cover image

What To Do If Your Medicare Advantage Plan Is Discontinued

Feb 26, 2024

Vitamin in a syringe stock photo

Does Your Medicare Plan Cover B12 Shots?

Aug 15, 2022

stack of books stock image

Do You Need Books on Medicare?

Apr 6, 2023

Psoriasis on elbow stock photo

Does Medicare Cover Ilumya?

Dec 7, 2022

Cover image

How Often Can I Change Medicare Plans?

May 5, 2023

A doctor with a clipboard consults a female patient with cancer

Does Medicare Cover Inqovi?

Jan 11, 2023

Visiting a hospital front desk illustrated stock image

Do All Hospitals Accept Medicare Advantage Plans?

Apr 11, 2023

plastic surgeons standing over a patient stock image

Does Medicare Cover Cosmetic Surgery?

Nov 28, 2022

More of our articles

13 Best Ways for Seniors to Stay Active in Philadelphia

13 Best Ways for Seniors to Stay Active in Phoenix

14 Best Ways for Seniors to Stay Active in Nashville

14 Best Ways for Seniors to Stay Active in Washington, D.C.

2024 Cost of Living Adjustment

2024 Fair Square Client Retention and Satisfaction Report

2025 Medicare Price Changes

Can Doctors Choose Not to Accept Medicare?

Can I Laminate My Medicare Card?

Do I Need Medicare If My Spouse Has Insurance?

Does Medicare Cover Abortion Services?

Does Medicare Cover Air Purifiers?

Does Medicare Cover an FMT?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Boniva?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cartiva Implants?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Compounded Medications?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Fosamax?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Hoarding Cleanup?

Does Medicare Cover Jakafi?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Nexavar?

Does Medicare Cover Nuedexta?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Oxybutynin?

Does Medicare Cover Ozempic?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover RSV Vaccines?

Does Medicare Cover SIBO Testing?

Does Medicare Cover TENS Units?

Does Medicare Have Limitations on Hospital Stays?

Does Medicare Pay for Bunion Surgery?

Does Medicare Pay for Funeral Expenses?

Does Medicare pay for Opdivo?

Does Medicare Pay for Varicose Vein Treatment?

Estimating Prescription Drug Costs

Explaining IRMAA on Medicare

Fair Square Client Newsletter: AEP Edition

How Are Medicare Star Ratings Determined?

How Can I Get a Replacement Medicare Card?

How Medicare Costs Can Pile Up

How Much Does Medicare Part A Cost in 2025?

How to Become a Medicare Agent

How to Deduct Medicare Expenses from Your Taxes

Is Botox Covered by Medicare?

Is Displacement Affecting Your Medicare Coverage?

Is Gainswave Covered by Medicare?

Is HIFU Covered by Medicare?

Is PAE Covered by Medicare?

Is Vitrectomy Surgery Covered by Medicare?

Medicare Advantage Plans for Disabled People Under 65

Medicare Consulting Services

Medicare Explained

Medicare Savings Programs in Kansas

Should You Work With A Remote Medicare Agent?

The Fair Square Bulletin: October 2023

Turning 65 and Thinking of Keeping COBRA? Here’s Why It Usually Backfires

What Are Medicare Part B Excess Charges?

What Is a Medicare Advantage POS Plan?

What Is Medical Underwriting for Medigap?

What is Plan J?

What to Do When Your Doctor Doesn't Take Medicare

Why You Should Keep Your Medigap Plan

Will Medicare Cover it?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.

Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2025

Terms of Use
Notice of Privacy Practices

Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

MULTIPLAN_FairSquareMedicare_01062022_M

Fair Square Medicare

FSM symbol - 50