Frequently Asked Questions

We understand you may have many questions about the process. Please click on the section below that pertains to you.

How do I schedule a consultation?

In order to schedule a consultation with our medical team, you will first need to Request a Consultation through our site. Then you will need to complete the registration process. If you have not yet requested a consultation, please complete your registration using the same link. Once you have completed the registration process, a team member will reach out to provide further information and schedule your consultation.

Will my initial consultation be virtual or in-person?

For the convenience of our patients, Endometriosis Surgical Specialists International (ESSI) offers a 15-minute initial consultation via phone at no cost to you. This is a good first step if you are unsure what your next steps should be.

If you are confident that you will need surgery or would prefer a more comprehensive initial appointment, we recommend our in-person Pre-Surgical Exam, which includes Doppler, Sonogram, Uterine Mapping, a thorough review of your medical history, and the development of a surgical plan. If you live out of state and will be traveling to the appointment, please notify our team members.

Will insurance cover my appointments?

We submit claims for Out-of-Network benefits, but payment is required at the appointment. Any reimbursement comes directly to you after processing. For In-Network HMO/EPO, High Deductible, or Catastrophic plans, you are considered Self-Pay and must pay the same fee upfront.

Visit our Fees for Services page for further information.

Will insurance cover my surgery?

If you have eligible Out-of-Network benefits at the time of your surgery, you will be required to pay only the $250 fee to reserve your surgical date. We will submit claims to your insurance, and all reimbursement must come directly to us.

If you do not have eligible Out-of-Network benefits, you will be treated as a self-pay patient and responsible for the base surgical fee. Visit our Fees for Services page for more information.

Will I be responsible for any additional costs?

Our goal is to make your financial responsibility as predictable and transparent as possible. After your procedure, ESSI submits all surgical claims directly to your insurance carrier under your Out-of-Network benefits.

If your plan underpays for covered services, our billing team will challenge the payment through the federal No Surprises Act (NSA) independent dispute process, when applicable. Under this federal protection, patients are not responsible for any additional balance beyond their plan’s normal cost-sharing (such as deductible, coinsurance, and out-of-pocket maximums). Your insurer determines these amounts, and you’ll receive an Explanation of Benefits (EOB) showing how your plan applied them.

Is there a Fast-Track option?

Yes! For those experiencing chronic and severe symptoms, ESSI offers a Fast-Track Program designed to deliver a rapid response for individuals dealing with persistent pain. We will accelerate your path to relief—bringing you in quickly to consult with a surgical specialist and, if surgery is recommended, placing you on our expedited surgical schedule.

To access the Fast-Track program, complete your registration and email [email protected] for immediate support and personalized guidance.

Should I be evaluated for Endometriosis & Adenomyosis?

For patients who experience chronic pain or have suffered recurrent losses and IVF failures, we strongly recommend being evaluated for Endometriosis and Adenomyosis. To request an in-person meeting with Dr. Vidali or a phone call with our medical team, visit this link.

Does ESSI offer Immune Management?

After 30 years as a Reproductive Endocrinologist, Dr. Andrea Vidali understands the crucial role Endometriosis can play as an underlying condition causing multiple failures and pregnancy losses. Dr. Vidali has learned that for many patients, the missing link is not more testing—it’s a thorough surgical evaluation. Through expert excision of Endometriosis or correction of structural abnormalities, we’ve helped women who previously suffered repeated pregnancy losses achieve great success carrying healthy pregnancies to term.

As such, BRI/ESSI has evolved to become an Exclusive Endometriosis Treatment Center addressing the need for a hands-on and personal approach for the diagnosis and treatment of Endometriosis and its role in infertility.

While we no longer offer immunological testing or treatment services, our experience in this field continues to guide our understanding of the hidden drivers behind reproductive challenges. In particular, we have seen time and again how underlying conditions such as Endometriosis and Adenomyosis—often inflammatory in nature—play a critical role in reproductive failure and frequently go undiagnosed without surgery.

Does ESSI offer a discount or financial aid on surgery?

Yes. That’s why we created our Pilot Program and Excellence Program — two specially designed options that remove traditional barriers like high upfront fees and make advanced excision surgery more accessible than ever before.

Visit our Fees for Services page for further information.

How do I know if I qualify for the Excellence or Pilot Program?

If you have commercial insurance with Out-of-Network benefits, you may qualify for the Pilot Program, which includes surgery with no upfront surgical cost with world-renowned Master Endometriosis Surgeon Dr. Andrea Vidali.

Additionally, if you have commercial insurance with Out-of-Network benefits, you may qualify for the Excellence Program, which includes surgery with no upfront surgical cost with one of our Expert Senior Surgeons. Please note that this program does not include Dr. Vidali.

If you do not have Out-of-Network benefits, you may qualify for a reduced base physician fee and flexible payment plan.

Visit our Fees for Services page for further details.

What are the available locations for office visits?

Dr. Vidali is committed to making care accessible by expanding ESSI's reach across the country. Current office locations:

• New York: 155 East 76th Street, Suite 1H, New York, NY 10021
• New Jersey: Women’s Wellness Center, 308 Willow Avenue, Hoboken, NJ 07030
• Florida: 2820 NE 214th Street, Aventura, FL 33180
• California: 4772 Katella Avenue, Suite 200, Los Alamitos, CA 90720

With multiple locations — and more on the way — we’re making it easier than ever to get the help you need, whether you live nearby or are traveling to receive care.

What are the available hospital locations for surgery?

ESSI is associated with multiple hospitals across different states. Our team performs surgeries at:

• New Jersey: Hoboken Medical Center, Jersey City Medical Center, Bayonne Medical Center
• California: MemorialCare Long Beach Medical Center, MemorialCare Saddleback Medical Center

To book a consultation for surgery, fill out a request online today at https://landing.preventmiscarriage.com/.