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

SIBO (small intestinal bacterial overgrowth) symptoms stock photo

Does Medicare Cover SIBO Testing?

Dec 1, 2022

What is the ICEP?

What is the Medicare ICEP?

Apr 7, 2023

Senior woman having vision problems stock photo

Does Medicare Cover Macular Degeneration?

Nov 30, 2022

Mouth guard used to help treat sleep apnea

Does Medicare Cover Mouth Guards for Sleep Apnea?

Dec 8, 2022

Charlotte skyline stock image

14 Best Ways to Stay Active in Charlotte

Mar 9, 2023

Illustrated representation of medical marijuana, using a prescription bottle with a marijuana leaf on the front.

Does Medicare Cover Medical Marijuana?

Jan 6, 2023

Kidney stone stock image

Does Medicare Cover Kidney Stone Removal?

Nov 23, 2022

various people wearing masks due to the COVID-19 pandemic stock photo

How Does the End of the COVID-19 Public Health Emergency Affect Your Medicare?

Mar 3, 2023

Cover image

Medicare & Ozempic

Jul 20, 2023

Pre-Existing condition stock image

Can Medicare Advantage Plans Deny Coverage for Pre-Existing Conditions?

Mar 28, 2023

doctor examining a patient's varicose veins stock photo

Does Medicare Pay for Varicose Vein Treatment?

Nov 18, 2022

Medigap stock image

What Is Medical Underwriting for Medigap?

Apr 14, 2023

Mental health stock photo

Does Medicare Cover Mental Health?

Oct 12, 2022

Cover image

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

Jul 14, 2025

Teenager Helping his Grandfather at Home stock photo

Does Medicare Cover Geri Chairs?

Dec 7, 2022

Gastroenterologist doctor, stomach specialist. Aesthetic handdrawn highlighted illustration of human stomach. Neutral grey background, studio photo and collage. stock photo

Does Medicare Cover Bariatric Surgery?

Dec 27, 2022

Caucasian nurse holding spine model against the patients backs. Clinic interior. stock photo

Does Medicare Cover Kyphoplasty?

Dec 9, 2022

Cover image

What People Don't Realize About Medicare

Mar 27, 2023

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Indianapolis

13 Best Ways for Seniors to Stay Active in Jacksonville

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 Seattle

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

2024 Fair Square NPS Report

2025 Medicare Price Changes

Can Medicare Advantage Plans be Used Out of State?

Comparing All Medigap Plans | Chart Updated for 2025

Denied Coverage? What to Do When Your Carrier Says No

Do You Need Books on Medicare?

Does Medicare Cover a Spinal Cord Stimulator?

Does Medicare Cover an FMT?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cartiva Implants?

Does Medicare Cover Cataract Surgery?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover Cold Laser Therapy (CLT)?

Does Medicare Cover COVID Tests?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover Hearing Aids?

Does Medicare Cover Hepatitis C Treatment?

Does Medicare Cover Hoarding Cleanup?

Does Medicare cover Hyoscyamine?

Does Medicare Cover Ilumya?

Does Medicare Cover Incontinence Supplies?

Does Medicare Cover Inqovi?

Does Medicare Cover Inspire for Sleep Apnea?

Does Medicare Cover Jakafi?

Does Medicare Cover Krystexxa?

Does Medicare Cover Ofev?

Does Medicare Cover Oxybutynin?

Does Medicare Cover Piqray?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover the Urolift Procedure?

Does Medicare Cover the WATCHMAN Procedure?

Does Medicare Cover Vitamins?

Does Medicare Cover Wart Removal?

Does Medicare Cover Xiafaxan?

Does Medicare Pay for Bunion Surgery?

Does Medicare Pay for Funeral Expenses?

Does Medicare Require a Referral for Audiology Exams?

Does Your Plan Include A Free Gym Membership?

Fair Square Bulletin: We're Revolutionizing Medicare

How Are Medicare Star Ratings Determined?

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

How Does Medicare Cover Colonoscopies?

How Does Medicare Pay for Emergency Room Visits?

How is Medicare Changing in 2025?

How Much Does a Pacemaker Cost with Medicare?

How Much Does Open Heart Surgery Cost with Medicare?

How to Choose a Medigap Plan

How Your Employer Insurance and Medicare Work Together

Is Balloon Sinuplasty Covered by Medicare?

Is Emsella Covered by Medicare?

Is the Shingles Vaccine Covered by Medicare?

Last Day to Change Your Medicare Part D Plan

Medicare Advantage Plans for Disabled People Under 65

Medicare Deductibles Resetting in 2025

Medicare Guaranteed Issue Rights by State

Saving Money with Alternative Pharmacies & Discount Programs

Should You Work With A Remote Medicare Agent?

What Are Medicare Part B Excess Charges?

What You Need to Know About Creditable Coverage

What's the Deal with Flex Cards?

What's the Difference Between HMO and PPO Plans?

When Can You Change Medicare Supplement Plans?

Which Medigap Policies Provide Coverage for Long-Term Care?

Will Medicare Cover Dental Implants?

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