Is Mole Removal Covered by Insurance?
- Asked by Stoodude in Fresno, CA
- 4 years ago
I have a mole bigger than the size of a pencil eraser above my butt. Someone please tell me the cost to remove it. I have Medi-Cal and not sure if that will help or not.
INsurance coverage for Mole Removal
You would need to check with your specific insurance provider to determine if this may be covered under your individual plan. Every insurance company and every plan is different.
Mole removal and insurance
Each insurance carrier and plan has different rules about what is considered medically necessary and covered. You have to check with your individual plan. Cosmetic mole removal is generally not covered by any plans.
A mole removal can be covered by insurance if there is medical necessity for removal. If there is concern of it being cancerous, this can be covered.
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Removing moles with insurance
Mole removal is often covered by insurance if there is a medical need to remove the mole, such as suspicion for cancer. Benign moles are not covered as often. I see many patients with insurance based mole removal in Los Angeles and have not had a problem with insurance reimbursement. Surgery90210
Mole Removal Covered by Insurance
Mole removal may be covered by insurance, depending on its characteristics, your skin history, and family history for skin conditions. If it is a cosmetic concern, often the excision will not be covered but you should be able to discuss this with your surgeon and your insurance provider.
Mole removal and insurance.
Mole removal is usually covered by insurance, especially if your dermatologist is worried that the mole is abnormal. If the spot is wanted to be removed for cosmetic reasons, the procedure is usually not covered.
Mole removal and health insurance
Generally, if a lesion is suspicious or has a history of growth,bleeding or irregular borders, it will be covered,. Your plastic surgeon should confirm the applicable rules established by your insurance company prior to the procedure to alleviate any financial concerns. Some carriers require preauthorization which is a simple matter for an experienced office staff.
Insurance typically covers mole removals under certain circumstances. For example, if a mole is suspicious looking or changing or getting irritated, they will cover the removal. If you want to remove a mole for purely cosmetic reasons (in other words you just don't like the way it works), you will have to pay out of pocket.
Does Insurance Cover Mole Removal?
Every insurance company has their own criteria as to whether mole removal is covered by insurance. That always has to be initially determined by a process known as pre-determination. Many physicians, however, do not take insurance for mole removal due to the very low reimbursements for doing it. Even in those who do, most physicians will not remove more than one or two at time as insurance stops paying for more than one or two at a single treatment session. From a cosmetic fee standpoint, most moles can be removed for a few hundred dollars apiece in most practices.
Web reference: http://www.eppleyplasticsurgery.com/
Mole Removals and Insurance
Each insurance company and policy will cover different medical conditions and procedures based on the guidelines of the plan signed up for. Mole removal may or may not be based on your policy.
Web reference: http://www.shahfacialplastics.com/mole-removal.html
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.