I broke my nose about six months ago. There's now a small bump (that never used to be there) and it's crooked, but only noticeable to most people if I point it out. I was scheduled to see a plastic surgeon but he canceled so I was wondering if there's any chance insurance could cover this (I can't afford it). It doesn't affect my breathing so I'm thinking no, unfortunately, but I still thought I'd ask. Thanks!
Bump and Slightly Crooked Nose from Being Broken - is There ANY Possibility Insurance Would Cover This? (photo)
Doctor Answers (4)
Insurance and rhinoplasty
Depending on your insurance company, they will likely cover some or all of the functional portion of your surgery that will help improve breathing if it is impaired. Any cosmetic changes, such as rasping a nasal hump, will be billed separately. I hope this helps, and I wish you the best of luck.
Broken nose covered by insurance
Documentation is the key to having a medical necessity to be able to submit to your medical insurance. If an x-ray shows it has been fractured, the pictures the nose show it is twisted and deviated it can be submitted to insurance. Be prepared to pay for it yourself if your insurance denies the claim.
Nasal surgery and insurance
Every insurance company is different. If you have adequate documentation like ER visit, xrays etc.; you may get some coverage. It is worth a try. Sometimes insurance will pay if it opens the airway but not for cosmetic improvement. Donald R. Nunn MD Atlanta Plastic Surgeon
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Insurance Coverage for Rhinoplasty
Thanks for the question. If breaking your nose caused deviation of your nasal bones to one side or the other, it's certainly possible that insurance may cover some or all of the cost of your rhinoplasty. In cases such as yours, insurance companies typically request the physician's clinical notes and photos taken during your consultation. In my practice, we have been able to get insurance to cover nasal reconstruction (reconstructive rhinoplasty) for numerous patients, though it seems to depend to some extent on how crooked the nose looks in photos. If you have any documentation of the nasal fracture (e.g. CT scan, x-rays, ER visit, notes from other physician etc.), you should bring those to your consultation. Other reasons for insurance coverage during rhinoplasty include difficulty breathing through the nose, deviated septum, large turbinates, and narrow internal valves.
Check with your insurance company to see who is in-network in your area. At the consultation, as to see photos similar to yours and make sure your surgeon does a large volume of rhinoplasty.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.