I got hit in the nose, and I'm wondering about how I can get it fixed. I don't want to say i have a deviated septum because I don't. I can breathe perfectly fine. It's crooked and ruins my self-esteem. Is there a way to get this fixed off of my insurance? I should be having medicare/medicaid soon.Will I need to have a nasty crooked scar, or a scar in general, on the tip of my nose even though it isnt a whole nose fix? This was about a year and 1/2 ago. I know it's been long, but I have parents that don't find it very important as much as I do. What do I do to get it back to the way it was? Thanks.
Answer: Insurance coverage Insurance generally covers procedures that are to improve function and your health, but not those that are just for aesthetic purposes. It sounds like yours is for aesthetic purposes, therefore chances are insurance won't cover it (although a portion of it may be covered).To fix your nose, scars are generally placed in discreet locations so you don't have to worry about having a visible scar.
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CONTACT NOW Answer: Insurance coverage Insurance generally covers procedures that are to improve function and your health, but not those that are just for aesthetic purposes. It sounds like yours is for aesthetic purposes, therefore chances are insurance won't cover it (although a portion of it may be covered).To fix your nose, scars are generally placed in discreet locations so you don't have to worry about having a visible scar.
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CONTACT NOW August 2, 2014
Answer: Nsurance coverage for fixing broken nose? Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance. Typically insurance will not cover a broken nose for cosmetic reasons as there is no functional deficit with these fractures.Discuss your issues and complaints with a board-certified plastic surgeon to discuss these as well as to examine and assist you in deciding which procedure(s) will be the best for you. A discussion of the advantages and disadvantages will take place along with the risks and benefits. Insurance companies will vary on coverage and is always reasonable to discuss your issues with your surgeon and primary care. It would behoove you to get as much information as possible and even call your insurance yourself. Certainly, pay in advance prior to your surgical procedure and options such as financing are available if you qualify. Hope that this helps! Best wishes!
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CONTACT NOW August 2, 2014
Answer: Nsurance coverage for fixing broken nose? Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance. Typically insurance will not cover a broken nose for cosmetic reasons as there is no functional deficit with these fractures.Discuss your issues and complaints with a board-certified plastic surgeon to discuss these as well as to examine and assist you in deciding which procedure(s) will be the best for you. A discussion of the advantages and disadvantages will take place along with the risks and benefits. Insurance companies will vary on coverage and is always reasonable to discuss your issues with your surgeon and primary care. It would behoove you to get as much information as possible and even call your insurance yourself. Certainly, pay in advance prior to your surgical procedure and options such as financing are available if you qualify. Hope that this helps! Best wishes!
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August 27, 2009
Answer: Insurance paying for broken nose It is unlikely that an insurance company will pay for the surgery. Usually, insurance companies will ask for the following when someone submits a claim for a broken nose: 1. Emergency room report at the time of injury 2. CT scan which shows broken bones. 3. A report from a qualified doctor saying that the injury is causing some kind of breathing difficulty. It is unlikely you can have insurance pay unless you have this information.
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CONTACT NOW August 27, 2009
Answer: Insurance paying for broken nose It is unlikely that an insurance company will pay for the surgery. Usually, insurance companies will ask for the following when someone submits a claim for a broken nose: 1. Emergency room report at the time of injury 2. CT scan which shows broken bones. 3. A report from a qualified doctor saying that the injury is causing some kind of breathing difficulty. It is unlikely you can have insurance pay unless you have this information.
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August 26, 2009
Answer: Insurance covers what is medically necessary Your insurance will not pay for just fixing a broken nose that has been broken a long time ago unless it is causing a breathing problem. There is no medical necessity to fix this other than any cosmetic purposes. This is a cosmetic rhinoplasty, and insurance will not pay for this type of straightening of the nasal bones.
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CONTACT NOW August 26, 2009
Answer: Insurance covers what is medically necessary Your insurance will not pay for just fixing a broken nose that has been broken a long time ago unless it is causing a breathing problem. There is no medical necessity to fix this other than any cosmetic purposes. This is a cosmetic rhinoplasty, and insurance will not pay for this type of straightening of the nasal bones.
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August 24, 2009
Answer: Insurance coverage for rhinoplasty Hi, Thank you for your question. This is a tough situation. There are several things goin on. It seems as though this is more of a cosmetic procedure which insurance does not cover. Plastic surgery procedures have to be determined medically necessary in order for insurance companies to cover the procedures. Even then, some insurances, especially Medicare/Medicaid, do not cover them fully. It does not seem like this is medically necessary in your case, especially since it has been over a year and a half and you can breathe just fine. Medicare also does not pre-certify, so they never guarantee procedures, even in the most necessary cases. It would be difficult to find a surgeon who would take the risk of performing the surgery and not receiving payment. Your story is not completely hopeless, however. Many plastic surgeons offer financing such as Care Credit where you can pay montly payments. Some may even offer payment plans in their office. Depending on what exact procedure you need, this may be an affordable option for you as it would obviously be worth it to you. Best regards, Dr. speron
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CONTACT NOW August 24, 2009
Answer: Insurance coverage for rhinoplasty Hi, Thank you for your question. This is a tough situation. There are several things goin on. It seems as though this is more of a cosmetic procedure which insurance does not cover. Plastic surgery procedures have to be determined medically necessary in order for insurance companies to cover the procedures. Even then, some insurances, especially Medicare/Medicaid, do not cover them fully. It does not seem like this is medically necessary in your case, especially since it has been over a year and a half and you can breathe just fine. Medicare also does not pre-certify, so they never guarantee procedures, even in the most necessary cases. It would be difficult to find a surgeon who would take the risk of performing the surgery and not receiving payment. Your story is not completely hopeless, however. Many plastic surgeons offer financing such as Care Credit where you can pay montly payments. Some may even offer payment plans in their office. Depending on what exact procedure you need, this may be an affordable option for you as it would obviously be worth it to you. Best regards, Dr. speron
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