Obalon Center 20/20 Weight Loss Challenge Rebate Program Terms and Conditions
As a participant in the Obalon Center 20/20 Weight Loss Challenge, you are eligible for up to $1,200 in rebates when treated at participating Obalon Centers for Weight Loss. Patients who lose between 25.0-39.9 pounds will be eligible for a $600 rebate while patients who lose 40.0 or more pounds will be eligible for an additional $600 rebate ($1,200 total potential reduction from the retail price of the treatment). You must agree to all stated disclosures and waivers provided to you at the Obalon Center for Weight Loss™. To qualify for the program, you must be treated at a participating Obalon Center for Weight Loss™ location. You must meet all initial exam criteria and have purchased and paid in full between January 1 and January 31, 2020. Initial balloon placement must occur before February 15, 2020. To receive the rebate, you must have your balloons removed within 210 days of first balloon administration and have a valid weight measured at one of the participating Obalon Centers for Weight Loss. The final weight to determine which of the additional rebates you qualify for will be collected on the date of balloon removal or between 180 and 210 days after first balloon administration. Rebate eligibility will be entered into the Obalon Center for Weight Loss™ electronic medical record system. Please allow 6-8 weeks for processing. If you have questions about this offer, please call toll free 1-888-788-6804. No submissions will be considered after September 14, 2020, and no rebates will be processed after November 9, 2020.
Patient, pharmacist, and prescriber agree not to seek reimbursement for all, or any part of the benefit received by the patient through the offer. You are eligible for this offer only if you paid in full for your entire treatment yourself and if no part of your treatment was covered by insurance or another third-party payor. You are not eligible for this offer if your private insurance, HMO, or other health benefit program paid for all or part of your treatment. If any form of reimbursement is sought from a third-party, you may be required to disclose the value of this rebate to that party or entity. This offer is available only to qualifying patients, excluding claims from Obalon Center for Weight Loss™ and Obalon employees and immediate family members living in the same household. This offer is non-transferable. No substitutions are permitted. No membership fees are associated with this offer. Offer valid only in the U.S., for patients treated at an Obalon Center for Weight Loss™ only. Void where prohibited by law, taxed, or restricted.
This offer is limited to one redemption per person and cannot be combined with any other Obalon offer or promotion unless explicitly enumerated in the Obalon Center for Weight Loss™ Patient Responsibility Agreement. No other purchase is necessary. This rebate is not insurance. By submitting a rebate request, you agree to all terms and conditions of this offer. Obalon reserves the right to cancel or modify this offer without notice. All rebate requests become the property of Obalon and will not be returned. Obalon assumes no responsibility for lost, late, damaged, misdirected, misaddressed or incomplete requests that fail to be properly delivered for any reason. Rebate checks will be issued in U.S. dollars only. Rebate checks are void if not cashed or used within 180 days. It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the rebate check.
Program Code: OCFL202001A
Indication and Important Safety Information:
The Obalon Balloon System (the “System”) is an FDA-approved, prescription-only treatment to facilitate weight loss. Individual weight loss results will vary. The System is a swallowable intragastric balloon system indicated for temporary use to facilitate weight loss in adults with obesity (BMI of 30 – 40 kg/m2) who have failed to lose weight through diet and exercise. The System is intended to be used as an adjunct to a moderate intensity diet and behavior modification program. All balloons must be removed in 6 months. Talk to your doctor if you have any questions about the System including any possible side effects. Patients with prior weight loss surgeries, inflammatory or other pathophysiological conditions of the GI tract are not eligible. The most common side effects reported were mild abdominal pain and nausea which typically resolved within two weeks. You must take daily acid-blocking medicine prescribed by your doctor. For full Important Safety Information click on Safety Information and Patient Labeling, available at Obalon.com/safety-information.