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

Cover image

How Much Does a Medicare Coach Cost?

Mar 20, 2023

Cover image

What to Do When Your Doctor Leaves Your Network

Jul 15, 2025

20 Q's with Fair Square

20 Questions to Ask Your Medicare Agent

Mar 17, 2023

Cover image

Medicare & Ozempic

Jul 20, 2023

senior couple doing yoga stock image

13 Best Ways for Seniors to Stay Active in Columbus

Mar 8, 2023

alphabet_soup

How to Choose a Medigap Plan

Jan 10, 2023

Electrocardiograph with pacemaker stock photo

How Much Does a Pacemaker Cost with Medicare?

Nov 21, 2022

cartoon hospital and male doctor stock image

Can I Have Two Primary Care Physicians?

Oct 3, 2022

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

Is PAE Covered by Medicare?

Nov 23, 2022

The feet of a man suffering from foot pain stock photo

Does Medicare Cover Krystexxa?

Nov 18, 2022

Medicare check yes stock image

How to Apply for Medicare?

Jul 15, 2022

Cover image

Denied Coverage? What to Do When Your Carrier Says No

Jul 15, 2025

Model of the lungs with the diseased part. Cancer or Ground glass opacity GGO. stock photo

Does Medicare pay for Opdivo?

Nov 23, 2022

plastic surgeons standing over a patient stock image

Does Medicare Cover Cosmetic Surgery?

Nov 28, 2022

stack of books stock image

Do You Need Books on Medicare?

Apr 6, 2023

doctor examining a patient's varicose veins stock photo

Does Medicare Pay for Varicose Vein Treatment?

Nov 18, 2022

Senior couple going over their finances stock photo

Explaining IRMAA on Medicare

Dec 21, 2022

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

Is Gainswave Covered by Medicare?

Dec 6, 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 Seattle

2024 Cost of Living Adjustment

Are Medicare Advantage Plans Bad?

Do All Hospitals Accept Medicare Advantage Plans?

Do I Need Medicare If My Spouse Has Insurance?

Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover Air Purifiers?

Does Medicare Cover an FMT?

Does Medicare Cover Bladder Sling Surgery?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cartiva Implants?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Compounded Medications?

Does Medicare Cover COVID Tests?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover ESRD Treatments?

Does Medicare Cover Flu Shots?

Does Medicare Cover Fosamax?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Hoarding Cleanup?

Does Medicare Cover Jakafi?

Does Medicare Cover Light Therapy for Psoriasis?

Does Medicare Cover LVAD Surgery?

Does Medicare Cover Macular Degeneration?

Does Medicare Cover Mental Health?

Does Medicare Cover Ofev?

Does Medicare Cover Orthodontic Care?

Does Medicare Cover Oxybutynin?

Does Medicare Cover Ozempic?

Does Medicare Cover Physicals & Blood Work?

Does Medicare Cover Piqray?

Does Medicare Cover Qutenza?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Wart Removal?

Does Medicare Cover Xiafaxan?

Does Medicare Cover Zilretta?

Does Medicare Pay for Allergy Shots?

Does Medicare Pay for Antivenom?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Does Your Plan Include A Free Gym Membership?

Everything About Your Medicare Card + Medicare Number

Finding the Best Dental Plans for Seniors

Gap Health Insurance: The Secret Sidekick to Your High-Deductible Plan

How Do I Sign up for Medicare? A Simple How-To Guide For You

How Do Medicare Agents Get Paid?

How Much Does Medicare Cost?

How Much Does Xeljanz Cost with Medicare?

How Often Can I Change Medicare Plans?

How to Compare Medigap Plans in 2025

How to Deduct Medicare Expenses from Your Taxes

Is Displacement Affecting Your Medicare Coverage?

Medicare Advantage MSA Plans

Medicare Savings Programs in Kansas

Plan G vs. Plan N

Should You Work With A Remote Medicare Agent?

The Fair Square Bulletin: October 2023

Top 10 Physical Therapy Clinics in San Diego

Welcome to Fair Square's First Newsletter

What Are Medicare Part B Excess Charges?

What If I Don't Like My Plan?

What is Plan J?

What is the 8-Minute Rule on Medicare?

What People Don't Realize About Medicare

What You Need to Know About Creditable Coverage

Why Is Medicare So Confusing?

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 2026

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. © 2026 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