I am considering getting a procedure done to help with my breathing, if my doctor thinks that is the best route to take (I have not asked yet). I have not been able to breathe out of the left nostril for as long as I can remember. My question is, if my insurance would pay for the health related procedure, would I be able to save myself some money by combining that with a nose job/rhinoplasty? With the cosmetic procedure of course coming out of my pocket Thank you, Jon
Deviated Septum Repair Combined with Rhinoplasty?
Doctor Answers (12)
Combining rhinoplasty with insurance covered procedure
There is a small cost saving associated with having both the septoplasty and rhinoplasty performed together at the same time. There are co-pays and deductibles that must be met with your insurance component of the surgery (septoplasty), however it is certainly acceptable to perform both the septoplasty and rhinoplasty concurrently as long as the patient is paying for the cosmetic portion (rhinoplasty) of the nose.
Yes you can combine and should combine the procedures. You will save some money but more importantly you can get a nice looking nose you can breath through. Insurance companies are used to being scammed when these procedures are combined so the payment to correct the breathing problem will be only a small part of the total cost.
Deviated Septum Repair Combined with Rhinoplasty
Yes, you would be able to save money by having both procedures together as there would most likely be a reduced facility fee and anesthesia fee on the second procedure. You are correct that you would be responsible for all fees related to the cosmetic procedure.
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Combined Septal Repair with Cosmetic Rhinoplasty
An insurance company will usually pay for the septal surgery, but you will be responsible for the cosmetic work. I encourage you to do both procedures together because it will cost you less money.
Septoplasty is covered by insurance and the cosmetic portion Rhinoplasty is your responsibility
Insurance pays only for functional breathing surgery
I know surgeons should by law only charge insurance for legitimate breathing surgery. Many unethical ones tweek the operative description to get insurance to pay for cosmetic work. If your doctor suggests this go elsewhere. You dont want to commit insurance fraud
Rhinoplasty with septal deviation.
The part of the surgery for your septum and turbinates is covered. You would have to pay just for the cosmetic portion.
It's common to have your nasal obstruction addressed at the time of Rhinoplasty Surgery.
Many patients requesting Rhinoplasty Surgery also have functional issues that may be addressed at the time of Rhinoplasty Surgery. Your surgeon's office could check your benefits to see if you would be eligible to have the functional portion of your surgery covered by your 3rd party insurance.
Hope this helps.
Insurance will cover the deviated septum repair but not the rhinoplasty (cosmetic portion)
It is not unusual to combine both functional (e.g. deviated septum repair to improve breathing) and cosmetic (e.g. tip refinement to improve appearance) changes into a single rhinoplasty procedure. In fact, many of my rhinoplasty cases include deviated septum repair (see link below for examples).
Insurance will cover the septoplasty portion of the procedure (though how much they cover will depend on the type of plan you have), which certainly helps defray part of the total cost.
Generally, pre-authorization from the insurance company for the deviated septum portion of the procedure needs to be obtained before surgery (rather than after), but this is usually a straight forward process that involves sending them a letter and photos detailing the condition.
Can do both together
Yes, they can be done at the same time. What your insurance will pay for the septum depends on your insurance. Talk to the doctor you are going to and they will discuss this all with you. The cosmetic part, is out of pocket.
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.