Will Insurance Cover Rhinoplasty Following Mohs Surgery?

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.  Your rhinoplasty portion should not be covered by insurance as this is a cosmetic procedure, as you state.  Depending on what refinements of your nose you will have done as well as you and your surgeon's comfort level for doing the procedure under local anesthesia will determine if you can have it done.  But, it is possible.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!

Insurance will almost always cover skin flaps, skin grafts, and other reconstructive techniques after skin cancer removal. Rhinoplasty would be covered only if it was related to the cancer reconstruction.

Your insurance will only cover the reconstruction of the nostril and not the rhinoplasty. The rhinoplasty can be done under local or general anesthesia.

Insurance plans allow a predermination letter to be sent by the doctor to a medical reviewer within the insurance company.  This letter (accompanied by photos) would describe the anatomic problem and cancer history as well as the proposed surgical manoevers.  Often times in your situation insurance plans will cover reconstructive procedures to address scarring and disfigurement.

Other areas of your nose that you separately have always wanted to enhance/change would be considered cosmetic non-insurance covered procedures.

The good news is that if the insurance company decides to cover your scar revision, then the cost for additional cosmetic procedures may be less since the insurance company is already covering a portion of the cost for the operating room and the anesthesia.

Speaking of anesthesia- rhinoplasty is almost never performed under local.  There are just too many invasive manoevers that would be too much for a patient under local.  Either "twilight sedation" or general anesthesia is typically utilized for rhinoplasty.

Good luck!

Rhinoplasty is a procedure whereby the entire tip, bridge, and alar areas can all be addressed by changing them.  This is done under a general anesthesia.  A rhinoplasty is never covered under medical insurance since it is cosmetic in nature and not medically related.  Even a simple scar revision will not be covered under insurance unless it is creating a functional breathing problem.