As of May 2026, more than 100 million individuals may have access to ESG through their health insurance.* Multiple insurance providers, including Cigna Healthcare, Elevance Health, and Peak Health, include ESG as a covered benefit when medical necessity criteria have been met (subject to specific plan details).
Connect with a local ESG provider to learn more about the non-surgical ESG weight loss procedure.
Even if your specific plan covers the ESG procedure, your insurance company will likely require what’s known as a prior authorization request—where they review your medical records, doctor’s recommendation, and other information provided by your ESG provider—before approving or denying coverage for the ESG procedure. If your insurance company denies coverage, you may still be able to pay for the procedure yourself.
Consider asking your ESG provider these questions about insurance coverage and prior authorization at your initial consultation:
Moving ahead with ESG is a big decision. When discussing costs and coverage, it’s important to consider how the weight loss procedure will impact you. Ask yourself:
Talk with an ESG provider to see if the procedure might be right for you.
“The ESG procedure seemed to be less invasive, and for me that was really important because I run a business. I didn't have a lot of downtime.”
– Ellen, ESG procedure November 2022
This patient testimonial is sponsored by Boston Scientific. Results are from an individual customer testimonial. Results in other cases may vary. In a study, patients with class 1 (BMI 30 to <45 kg/m2) or class 2 (BMI 35 to <40 kg/m2) obesity who underwent ESG in conjunction with prescribed diet and exercise counseling achieved an average of 13.6% total body weight loss at year one.
ESG procedure costs are not standardized and are impacted by a range of factors such as:
The best first step is to talk with an ESG provider or your insurance company to determine available coverage. Find a doctor
As of May 2026, more than 100 million individuals may have access to ESG through their health insurance.* Multiple insurance providers, including Cigna Healthcare, Elevance Health, and Peak Health, include ESG as a covered benefit when medical necessity criteria have been met (subject to specific plan details). ESG may be covered by Medicare or Medicaid on a case-by-case basis depending on your plan and medical necessity.
A prior authorization is when an insurance provider reviews a doctor’s recommendation before confirming whether a request will be covered. Your ESG provider’s office will request prior authorization on your behalf. Be sure to ask them about insurance coverage and prior authorization at your initial consultation. Find a doctor
In most cases, if a prior authorization wasn’t completed first, it’s unlikely you’d be reimbursed for procedure costs.
Connect with a local ESG provider to discuss whether the ESG weight loss procedure is right for you.
ESG is performed using a suturing device called OverStitch. Learn about the risks of the OverStitch Endoscopic Suturing System & OverStitch NXT Endoscopic Suturing System (“OverStitch”) for bariatric surgery.
Talk with your doctor to fully understand all the risks and benefits associated with using this device. Ask your doctor whether this device is right for you.
Indications for Use:
OverStitch is for adult patients with obesity with BMI between 30-50 kg/m2. OverStitch can reduce the size of the stomach by stitching the inside. It can also fix the stomach outlet from previous bypass surgery.
When OverStitch is used to help with weight loss, you need to follow a healthy diet and exercise program. You may not lose weight if you do not adopt healthy habits.
Contraindications:
Your doctor will ask you about your medical history and perform a physical exam to decide if OverStitch is right for you. At the time of your procedure, the doctor may detect internal issues that prevent you from receiving OverStitch. For example, stomach ulcers or inflammation in the stomach may impact device placement.
You should not receive OverStitch if you: have a large hiatal hernia; have a history of bleeding in your stomach or food pipe; have a history of eating disorders; are pregnant; have bleeding disorders or are on blood thinners.
Warnings:
Talk to your doctor if you develop major, continued upper abdominal or back pain with difficulty breathing at any time after getting OverStitch.
OverStitch contains nickel. Nickel may cause an allergic reaction in people with nickel sensitivity.
Potential Risks:
Breathing any foreign object or substance such as food, saliva, or stomach contents into your lungs; Intestine blockage; Switching to a different type of surgery; Nausea, vomiting, dehydration; Bleeding; Infection; Swelling, redness, and pain in tissues caused by injury or damage; Damage to or a hole through the tissue around the stomach, food pipe or surrounding organs; Unintended transfer of fluid or gas from one area of the body to another; Pain; Feeling pins and needles; Buildup of fluid around the stomach; Air leaking from the lungs; Difficulty breathing; Narrowing or tightening in the stomach; Wound opening; Death
MRI Safety Information:
OverStitch can be MRI scanned under certain conditions. Scanning under other conditions may result in injury or device malfunction. Inform your doctor or MRI technician of the device before undergoing an MRI scan. This allows them to take any needed precautions.
Individual weight loss may vary.
*Covered lives are estimates based on data from Clarivate and Policy Reporter. Policies are subject to change or discontinuation.
For the OverStitch Endoscopic Suturing System you need to follow a healthy diet and exercise program to lose weight. You may not lose weight if you do not adopt healthy habits. Your doctor’s clinical team, including dietitians, nutritionists and/or exercise trainers, should help you on your weight loss journey.
All trademarks are the property of their respective owners. Any use of third-party trademarks, logos, or brand names is for identification purposes only and does not imply endorsement or affiliation.
CAUTION: U.S. Federal law restricts this device to sale by or on the order of a physician.
