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Insurance Coverage for Nose Hump Removal Due to Injury?

asked 2 years ago by olympian04 in Ann Arbor
Latest answer by William Portuese, MD
Question viewed 1,091 times
Tags: bridge, nose, bigger, healing, hump, insurance

I recently broke my nose playing basketball. I had to get it reset back in place by surgery. Since it has healed the bone has seemed to become larger creating a bigger hump on the bridge. I wish I could say it does not bug me but it does. I do not have the money to get a "nose job" and I am not really into plastic surgery (not knocking those who are) is there any way insurance covers this because it was an injury and is there anything I can do to fix it. Thanks.

12 answers to Insurance Coverage for Nose Hump Removal Due to Injury?

Insurance Coverage for Nasal Hump Removal

Although the hump is secondary to trauma, the insurance company will probably not cover surgery unless there is a breathing or functional problem. However, when confronted with a similar situation, I will always get the documentation from previous treatment following the accident, do a current examination, and submit this to the insurance company for pre-operative authorization.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Insurance covers re-straightening nose from injury

Insurance coverage will only re-straighten the nasal bones from a documented prior injury. It will not address any cosmetic hump removal even though that was due to the injury. This is considered a cosmetic nose job. If the nose is still crooked and displayed then your medical insurance may cover this.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Insurance coverage of nasal fracture (nose job) and/or rhinoplasty

Although your insurance may have paid for the intial repair of the nasal fracture it is unlikely that they will cover the subsequent correction unless there is some functional component. This means that your "deformity" must be causing some breathing difficulties. The likelihood of this is relatively low. To know for certain, see a rhinoplasty surgeon and have trhem complete an evaluation and prepare a letter of predetermination of benefits coverage to your insurance carrier.... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Insurance coverage for old injury.

Most insurance companies will only cover this if there is a functional component. You can check with them to get a predetermination of what they will cover.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Insurance coverage for nose hump removal

This is how I handle these situations in my practice. After an in detailed history and physical examination, including 6 photographic views, I request the patient to supply ANY documentation related to the previous injury. This doctumentation is operative reports, office or ER notes and reports, X-ray reports. Anything that will justify the reconstructive portion of the planned operation. Then we send/call/email/fax ALL this information to the patients' insurance company. Upon a response,... more

Darryl J. Blinski, MD
Miami Plastic Surgeon

Traumatic hump deformity

Traumatic hump deformities from sports related injuries may in some cases be covered by insurance companies especially if there is a concomitant break or deviation of the septum. I have had many patients be able to have this problem corrected who are basketball players at the local university as well as baseball players. That being said we would have to pre-certify the procedure with your insurance company. One thing you can do is check with your insurance company policy to see if it is a... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Unlikely that insurance will cover rhinoplasty

It's unlikely that your insurance company will cover the costs of rhinoplasty, since your predominant complaint is a cosmetic concern, not a functional one. Insurance companies are much more likely to cover some of the costs of rhinoplasty if there is documented airway obstruction or breathing problems. A bump on your nose, although the result of trauma, ultimately is a cosmetic concern. Hope this helps. Best of luck.

Sam Jejurikar, MD
Dallas Plastic Surgeon

Nasal bump after fracture

Insurance is a contract between you and your insurance company. I suggest you contact your carrier and ask them if a facial fracture is a "covered" expense and get it in writing. Be aware however, that insurance companies make money by denying claims. So even if in writing, be prepared to fight.

Darrick E. Antell, MD
Manhattan Plastic Surgeon

Insurance for a Nasal Fracture

Hi, Yes your insurance should pay for the correction of hump caused by a nasal fracture. However, all health insurances are not the same, so may have to find out exactly what is covered. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Bumpy Nose

In an ideal world, all defects would be fixed for free. That does not exist. Although you say you are not into Plastic Surgery or a "nose job", I bet your wear nice clothing and try to have a good appearance. That is all that plastic surgery is, we can improve your bump and make your nose look better, if you don't like your appearance. The problem is, you will have to pay for it. Very few insurances pay for nasal bump correction. They may pay for the closed reduction when you hurt... more

William B. Rosenblatt, MD
New York Plastic Surgeon

Sometimes a bump from a nasal fracture may be covered by insurance

Some patients get a new bump on their nose after a nasal fracture, even if it was "set" by a closed reduction. This is from what is referred to as a callous. As bones heal they have a bump of healing bone, the callous, which usually goes away after a few months. Sometimes a bump remains. If you can demonstrate by old photos that the bump is definitely new, the nasal fracture reduction was within the past year or so and you have a persistent doctor, this may get covered by insurance... more

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Insurance coverage for nose hump removal (Reduction Rhinoplasty)

I am NOT familiar with Michigan medical insurance companies and can only speak to those in Tennessee. The likelihood of a medical insurance company in Tennessee approving a Reduction Rhinoplasty because of a presumed or more precisely claimed causal relation to a basketball accident is zero. They MAY, depending on your policy, approve a Septoplasty but never a reduction rhinoplasty. I would be curious what my other colleagues' experiences have been. Dr. P. Aldea