Rhinoplasty: Q&A
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Insurance Coverage for Deviated Septum and Nose Hump Caused By Broken Nose
I broke my nose 5 years ago but did not have it fixed. I am having trouble breathing through my nose especially on one side, and have regular headaches. Prior to this I ran on a regular basis, but one nostril closes on me now making it impossible to breathe correctly while running. The break in my nose has also caused my nose to be slightly crooked at the top but more significantly created a large hump. I have documentation of the break from the ER. Will all of this be covered by the insurance?
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11 Doctor Answers |
Asked by
Macias925
in Salt Lake City UT
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Insurance coverage for nasal surgery
A deviated septum and nasal fracture is generally covered under medical insurance. Collapsing of a nasal valve may require a spreader graft and is often covered by medical insurance. This will have to be documented on physical examination by the surgeon and then submitted for preauthorization prior to undergoing this type of functional reconstructive surgery. Any cosmetic changes to the nose are considered cosmetic and will have to be paid for by the patient. In addition to insurance...
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Nasal surgery and insurance coverage
It is tough to say whether or not the insurance company will cover it. You have to check what their criteria are. It may.
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Dorsal Hump after Nasal Fracture
This is a question that I often encounter with my patients.
While insurance should cover your septoplasty and, potentially re-breaking your bones in order to straighten then for functional purposes, profile reduction is not typically covered.
Insurance only covers those changes that are having a functional impact on your nose. Unfortunately, the dorsal hump is not a functional issue but, rather, a cosmetic issue. Insurance does NOT care that it happened as a result of a trauma...
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Insurance Coverage for Repair of Nasal Fracture
You are fortunate to have documents that will clarify your injury and treatment. It is impossible for any of us to answer your question - it will depend on the details of your policy, but it is very unlikely that all medical costs will be covered. The staff in your surgeon's office will help you deal with the insurance company.
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Will Insurance Pay for Fixing MY Septal Deviation with Obstructed Aiway?
Regarding: "Insurance Coverage for Deviated Septum and Nose Hump Caused By Broken Nose
I broke my nose 5 years ago but did not have it fixed. I am having trouble breathing through my nose especially on one side, and have regular headaches. Prior to this I ran on a regular basis, but one nostril closes on me now making it impossible to breathe correctly while running. The break in my nose has also caused my nose to be slightly crooked at the top but more significantly created a...
more
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Insurance USUALLY covers nose surgery after trauma
Based on your description, most insurance companies will cover the costs of all, or at least part of, your surgery.
That being said, never take anything for granted when it comes to insurance coverage for elective surgery. You need a predetermination or pre-authorization letter from your insurance carrier before surgery because some policies have exclusions or require special tests before approving payment.
You don't want to get stuck with an unexpected bill!
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Insurance Coverage for Deviated Septum and Nose Hump Caused By Broken Nose
From your description and documentation your health insurance should cover the operation of a Septo Rhinoplasty. But it is up to you to obtain prior authorization with the help of the boarded plastic surgeon you have chosen. Best from MIAMI Dr. Darryl j. Blinski
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Yes, insurance will likely pay for your rhinoplasty
Hi Macias,
For problems related to breathing, insurance will almost always pay for the procedures. This is because the procedure is being done for reasons related to the inability to breathe. You need to schedule an appointment with a surgeon in your area who can evaluate you, take photographs, and request insurance approval. For all of my patients, I have them try a course of nasal saline sprays or irrigations and, usually, nasal steroid sprays, to see if this will...
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Insurance will cover part of the surgery
Rhinoplasty for a deviated septum will usually be covered only for the reconstructive portion, those to improve your breathing. As far as changing the shape of the nose that would not be covered and probably be an out of pocket expense to you. Again make sure your plastic surgeon and you get pre-authorization for your surgery. Good Luck, Dr Schuster in Boca Raton
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Insurance coverage for septo-rhinoplasty
If you are having trouble with breathing along with a deviated nasal septum; insurance will generally cover this. When the septum is corrected, the crookedness of the nose will also be corrected. Work with your plastic surgeon and make sure to get preauthorization from the insurance company.
Best Wishes
Dr. Peterson
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Insurance Can Cover Some Of Rhinoplasty After Trauma
Have your plastic surgeon examine you, document your breathing problems, and take photos. Your surgeon can then submit these to your insurance for pre-approval. Often insurance will cover some of the procedure.
Functional problems are generally covered by insurance. A strictly cosmetic part of the procedure such as narrowing the base may not be covered. You then would be responsible for surgeon fees, anesthesia fees, and OR fees for that portion that is cosmetic.
Therefore, an exam and...
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