I was just wondering?
Is There Any Way to Get Rhinoplasty Covered by Insurance?
Doctor Answers (16)
Is there any way to get rhinoplasty covered by insurance?
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 Coverage for Rhinoplasty
Insurance will usually cover functional problems such as breathing obstruction, repeated nasal or sinus infections, or intermitant nasal bleeding. They will not pay for any cosmetic changes.
Insurance covers what is medically necessary, not cosmetic
Insurance will only cover a broken nose that has recently been broken, an old broken and twisted nose that is causing a breathing problem, or simply a deviated septum and/or turbinate surgery for breathing problems. Medical insurance also pays for sinus surgery. A rhinoplasty is considered cosmetic and is not covered by any medical insurance.
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Insurance doesn't cover cosmetic surgery
It's very simple. If you are making your nose look better, it is not covered. You don't have a medical problem. If you are fixing a medical problem, usually a breathing problem, then insurance should cover it. Sometimes, you are doing both so insurance will cover part of the procedure Good luck!
Rhinoplasty and insurance
Insurance will cover work on the septum to correct breathing problems. They will not cover any cosmetic work to the nose. Many times both procedures can be done at the same time, but the anesthesia and operating room fees for the cosmetic portion of the case will be your responsibility. Good luck, /nsn.
Insurance will only cover nasal surgery for a breathing problem.
If by rhinoplasty you mean cosmetic, the answer is no they won't. If the septum and or nose is deviated and causing a breathing problem, thsy may cover the part that is functional-not cosmetic.
Rhinoplasty under insurance
It really depends what the problem is that is being addressed. If you are trying to achieve a more cosmetic result then the answer is no. If you have breathing problems and you need surgery on your septum, or turbinates or spreader grafts to open up your airway, then that may be covered.
Cosmetic procedures are not medically necessary and therefore would not be covered by insurance.
Insurance coverage of rhinoplasty
Essentially the answer comes down to the question if your rhinoplasty is functional or cosmetic. IF it is the former, then there is a greater likelihood that the procedure will be covered. If it is cosmetic, it is highly improbable that it will be a covered procedure.
Medical insurance won't cover cosmetic surgery
Many people have tried! But it doesn't work. Here in Canada, our provincial medical coverage will pay for damaged noses, either from injury, prior surgery or developmental reasons. If you have difficulty breathing, and it’s due to a surgically correctable cause like a deviated septum, the cost will be covered. Likewise if you have broken your nose and the external appearance is crooked. But that's where it ends. Anything else is cosmetic and is the responsibility of the patient. A nose with a dorsal hump won't have a straight profile afterwards.
People are often surprised that a crooked nose won't necessarily appear straight after corrective surgery to improve nasal breathing. The reason is the surgery needed is internal, and often the septal straightening isn't reflected externally. The problem area is at the bottom of your nose, not the bridge between the eyes. However not all is lost! Combining functional and cosmetic nasal surgery can reduce the overall cost somewhat, as a part of the institutional/surgicenter costs, those directly related to the functional work, are picked up by the provincial carrier.
Rhinoplasty insurance coverage
Interesting question.We need to define terms in order to educate you on insurance cover/benefit vs cosmetic/non covered benefit surgeries. Also as the previous experts have stated there is a very fine line in committing fraud. so be very clear as to what you are asking for. Now Cosmetic rhinoplasty is an operation to change the external appearance of the nose. There are no functional deformities or diseases associated with these operations. Thus, no insurance benefits are available.
If you are trying to get $'s from the insurance company because your feel paying the monthly premiums should apply, then help change the laws and the possible penalties to the patient and doctor. Now the term reconstructive rhinoplasty, Internal Septoplasty, Open or Closed reduction of nasal fractures, Turbinectomy are all deformities or disease associated issues with the nose that are insurance covered benefits. If you have these real issues with documentation as to history and length of time having these issues than there could be insurance coverage.
Please discuss and be examined by boarded surgeons. Be careful out there, if the surgeon will lie for you to get you insurance $'s than if the surgery has a problem it is obvious the surgeon has no ehtics but to lie to you. Best of Luck!
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.