My advice is to get to a plastic surgeon right away if your earlobe is torn. Most insurances cover traumatic repair of the earlobes but question whether elective surgery is cosmetic in nature. My office fields these questions all the time and is adept at making pre-authorization inquiries to clarify coverage in advance of surgery.
Generally insurance does not cover repair of split ear lobes, stretched ear lobes or earlobes with enlarged holes
If there is an injury or trauma that causes a torn earlobe or cut ear lobe then the insurance sometimes covers the repair cost if done urgently in and emergency room for example.
The short answer is "no." Earlobe repair is considered a cosmetic procedure and is not covered by insurance.
For single, uncomplicated earlobe tears, we charge $325 for one earlobe and $550 for both.
The procedure is performed under local anesthesia. Nitrous oxide (laughing gas) is available at no additional charge. If you bring small studs with you, we can repierce your ears at the same time.
Torn earlobes are not covered by insurance, at least in Georgia. However, the procedure is so simple and inexpensive it shouldn't be a problem to get them fixed. It's done in the office with local. We charge $250 per earlobe.
Torn earlobes are mostly caused by people who wear heavy earrings over long periods of time or by people who have inherently weaker earlobes. Ear lobe repair is a quick procedure which is done under local anesthesia. After the stitches are removed, the ear usually heals nicely and it is safe to have your ears pierced 6 after weeks. This is a cosmetic procedure and will not be covered by insurance unless you go to the office on the day that it rips and a laceration is visible. The...
Unfortunately, insurance usually doesn't pay for torn ear lobes, unless the tear occurred recently. If it has healed, it is usually considered cosmetic. We usually ask the insurance company to consider repair, because it doesn't hurt to ask. However, the likelihood of approval is pretty low.
A torn ear lobe from an injury that occured within a few days can often be repaired under the umbrella of "laceration repair" and be considered "medically necessary." If done after it has "healed," it may be considered a cosmetic procedure and therefore may not be covered. The best strategy is to work with your plastic surgeon and insurance company to obtain "preauthorization" in writing to repair the lobe. This...
If your earlobe tear is due to trauma and you seek medical attention immediately, the insurance may cover it, just like any other cut. However, if you let it heal, most likely, they will consider it cosmetic. The only exceptions we came across was when the injury occured after car accident or work related injury and insurance company agreed to cover it later on.
In my experience insurance will cover the repair of a torn earlobe if you seek treatment to have it repaired right away. If a fews months or even years have elapsed since the injury it will be considered cosmetic and there will be an out of pocket expense.
Earlobe tears or split earlobe repair with insurance
Torn or split earlobes are corrected with surgery. Insurance companies usually cover only items that are considered medical. This can be easily determined by speaking to your insurance company representative.
Torn Earlobes are generally not viewed as medically necessary so they will not be covered by insurance.
The costs to repair a torn earlobe varies considerably depending on geographic location and the experise of the surgeon.
A torn earlobe tends to range between $250 to $2000 per ear.
Some insurance plans cover the cost of repairing toward earlobes
The repair of a torn earlobe is one of the most common office procedures and plastic surgery. In our practice, we routinely perform this perceived or under local anesthesia in the office. We use a technique that employs a small tissue flap to wrap around the entire ear piercing. This flap will help support the weight of the earring so that the earring does not tear through the delicate new tissue. In our experience, many of our patients have had this surgery and have successfully been...
Cosmetic surgery is elective, so insurance plans generally don't cover the procedure. However, there may be exceptions. Plastic surgery covers a broad area of medicine which includes both reconstructive procedures and cosmetic procedures. Torn ear lobe is usually considered cosmetic, but coverage varies and could possibly be considered reconstructive based on your specific condition. First speak with your insurance provider to determine benefits and coverage, then find a cosmetic surgeon who...
Insurance cover the cost of repairing torn earlobes
Interesting question. As an insurance reviewer in the late 1990's, I found NO insurance company would cover split earlobes as an elective procedure. It was felt as this was a cosmetic procedure due to the fact that the ear piercing was for personal beautification and served no functional or medical issue, condition or disease.
The only times there MIGHT be insurance coverage was in an emergency setting, where the ear lobe earring was TORN through the lobule, acutely. Meaning an injury was...
As insurance companies seek additional methods of controlling expenses while increasing their premiums, they are increasingly denying coverage of procedures which were previously considered reconstructive and now labeling them as not improving function.
This a common problem. The insurance does not cover the surgery. It is considered purely cosmetic and elective.
With three tears you need to see A Plastic surgeon to give you a symmetrical ear lobes. The cost vary but ranges of $1000-1500
Torn ear lobes do not constitute a medical condition which remotely threatens normal function or life. As such, their repair is a pure cosmetic operation. No insurance company that I am familiar with will pay for such a cosmetic procedure. The fee will vary significantly based on your location.