Follow Us:

“Thank you so much for making it possible to bring these two amazing people into our lives.”

– Saratoga Springs, New York

“You are my heroes. We can never thank you enough.”

– Ontario, Canada

We have been so blessed to bring another tubal reversal baby into our family.

– Buckatunna, Mississippi

“Ivy is our second Monteith Miracle!”

– APO, Armed Forces Europe

“It was a leap of faith and we have had a blessed journey.”

– Colorado Springs, Colorado

“Thank you for making our dreams come true!”

– Nebo, North Carolina

Our Facilities

Warm and inviting, our state of the art surgical facility offers safe, affordable & personalized tubal reversal surgery. Dreams of starting a family become a reality here.

Learn More

Ask The Doctor

Your questions about tubal ligation will be answered promptly either by phone or email. Read our most FAQs before submitting your questions.

Contact Us

Does Health Insurance Pay For Essure Reversal?

As a specialty center for Essure reversal, our office staff are frequently asked “Does health insurance pay for Essure reversal?”

does-health-insurance-pay-for-essure-reversalEssure was first approved in 2001. At first, not many women opted to have the Essure procedure. Very few Essure procedures were performed.

After the Bayer Health Care Corporation acquired Essure in 2013, more aggressive marketing of Essure occurred, more doctors began offering Essure, and more women opted to use Essure for permanent birth control (sterilization).

It has been estimated that over 750,000 women world-wide have had Essure. The actual numbers of women who have Essure inserted is probably way higher than the often repeated number of 750,000.

Essure sterilization is intended to be permanent. Prior research has shown a significant number of women will regret their sterilization procedure. Some women will consider in-vitro fertilization (IVF) and some will consider surgical reversal of sterilization.

These women will approach their doctors and ask does health insurance pay for Essure reversal or IVF? Unfortunately, health insurance will not pay for either of these treatments.

To better understand why health insurance will not pay for Essure reversal you should understand how health insurance companies look at tubal ligation reversal surgery.

Does health insurance pay for tubal ligation reversal?

Over 98% of health insurance companies will not pay for tubal ligation reversal.

The first tubal ligation was performed in 1880’s and since then millions of tubal ligation procedures have been performed. The first tubal reversal surgery was performed in the 1960’s. As tubal reversal surgery became a more common, health insurance companies quickly realized tubal reversal was being done for fertility reasons.

In an effort to keep costs down, health insurance companies decided tubal reversal was not medically required.

Health insurance companies have a long history of dealing with request for payment for reversal surgery and have no problem telling their members “tubal reversal is a non-covered procedure”.

Does Health insurance Pay For Essure Reversal?

Essure reversal is a procedure to remove the Essure devices and reopen the fallopian tubes. The purpose of Essure reversal is to restore the natural function of the fallopian tube and allow for natural conception and pregnancy.

More information: Tubouterine implantation for Essure reversal

Health insurance companies consider Essure reversal and IVF as fertility treatments.
These treatments are considered non-urgent and not required to improve the health or life of a person. Health insurance companies look at the Essure reversal procedure the same way they look at tubal reversal surgery, face lifts or breast augmentation procedures.

Fertility is considered non-urgent, not necessary, and not worthy of wasting health care dollars.

Does health insurance pay for Essure reversal? Our experience

In our experience, we have observed some health insurance companies will pay for Essure reversal and some will not. It really is a toss up.

Health insurance companies are seeing a large increase in submitted claims for treatment of Essure complications.

Health insurance companies will readily pay for Essure removal if you are having a complication from Essure. Unfortunately they will only pay for Essure removal if the surgery is done in a hospital and if you have a hysterectomy (complete removal of the uterus) or salpingectomy (complete removal of the Fallopian tubes).

Health insurance will pay for Essure removal but not for Essure reversal.

Will health insurance pay for Essure reversal with Dr. Monteith?

health-insurance-rarely-pays-for-essure-reversalDr. Monteith is a participating member in Blue Cross Blue Shield, Cigna, and Aetna. Some of his Essure reversal and Essure removal patients are seeing partial reimbursement for Essure related surgery at A Personal Choice.

For more information: Will health insurance pay for Essure reversal or Essure removal at A Personal Choice?

Often if your health insurance company covers Essure removal….they are more willing to cover the procedure if the procedure is done in a hospital setting.

Often your health insurance plan will is more likely to cover complete hysterectomy or fallopian tube removal. When you have Essure removal outside of a hospital or Essure reversal then reimbursement is more likely to be partial reimbursement, if you see any reimbursement at all.

Need More Information About Tubal Reversal?

A Personal Choice Tubal Reversal Center is in Raleigh, North Carolina and specializes in tubal ligation, Essure, and vasectomy reversal surgery.

Dr. Monteith specializes in helping couples have more beautiful children with reversal surgery and helping women treat abnormal symptoms after their tubes have been tied!

If you would like more information about reversal, including the cost and success rates, then enter your email address below and you will be emailed more information about reversal.

  • This field is for validation purposes and should be left unchanged.

Join Our Facebook Group?

Women who need more advice about reversal are encouraged to join A Personal Choice’s public Facebook group:

Facebook Tubal Reversal Group of A Personal Choice

By joining the group you can communicate with other women who have had successfully reversed their tubal ligation and restored their natural fertility.

Have Questions? We’re Happy To Help!

We provide a unique surgical experience with personalized attention and one-on-one care. We make every effort to make your surgery less of a process and more of a life’s experience. Please use the buttons below for answers to our frequently asked questions.

Have a Question? Drop Us A Line!

If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.

Please view our most frequently asked questions before sending your questions.

  • This field is for validation purposes and should be left unchanged.